Individual
JOHN N HENRY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
189 PROUTY DR, NEWPORT, VT 05855-9820
(802) 334-7331
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5704
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
027167
NY
363A00000X
Physician Assistant
Primary
1089
NH
363A00000X
Physician Assistant
AP1946
MA
Other
Enumeration date
05/03/2006
Last updated
10/29/2021
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