# HENRY G DELATORRE MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679997076
- **Authorized official:** HENRY G DELATORRE MD (OWNER)
- **Authorized official phone:** (866) 813-9862

## Contact information

- **Practice address:** 90 BEAVER DRIVE, 214D, BLDG D, DUBOIS, PA 15801
- **Practice address phone:** (866) 813-9862
- **Mailing address:** 90 BEAVER DRIVE, 214D, BLDG D, DUBOIS, PA 15801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/06/2014
- **Last updated:** 02/06/2014