Individual
DR. ROY ROBERT HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
60 WEST UNION AVE, BOUND BROOK, NJ 08805-1716
(732) 469-3668
(732) 469-3650
Mailing address
60 WEST UNION AVE, BOUND BROOK, NJ 08805-1716
(732) 469-3668
(732) 469-3650
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00176300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1838709
—
NJ
01
—
F08076
HEALTH NET
NJ
01
—
P384246
OXFORD
NJ
Enumeration date
08/20/2006
Last updated
03/25/2010
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