Individual
DR. TREVOR HUGH HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-2000
Mailing address
100 E LEHIGH AVE STE 305B, PHILADELPHIA, PA 19125-1012
(215) 707-8483
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD473179
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT214151
PA
Other
Enumeration date
06/21/2017
Last updated
08/17/2021
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