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TUDIE ANN ROXNEE HENRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(215) 955-9837
Mailing address
6 BERNE DR, APALACHIN, NY 13732-4032
(917) 579-7511

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
283426-1
NY

Other

Enumeration date
03/27/2013
Last updated
11/07/2017
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