Organization
HENRY U. ISIOCHA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY U ISIOCHA M.D. (PHYSICIAN)
(302) 747-7903
Entity
Organization
Contact information
Practice address
1177B S GOVERNORS AVE, DOVER, DE 19904-6903
(302) 747-7903
(302) 747-7906
Mailing address
1177B S GOVERNORS AVE, DOVER, DE 19904-6903
(302) 747-7903
(302) 747-7906
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
C1-0005027
DE
305S00000X
Point of Service
C1-0005027
DE
Other
Enumeration date
11/10/2010
Last updated
12/29/2010
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