Individual
TERRY JON HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2580 HAYMAKER RD STE 304, MONROEVILLE, PA 15146-3500
(412) 858-3070
Mailing address
2580 HAYMAKER RD STE 304, MONROEVILLE, PA 15146-3500
(412) 858-3070
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD469645
PA
2086S0102X
Surgical Critical Care Physician
Primary
MD469645
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14958751
CAQH
—
Enumeration date
05/28/2014
Last updated
06/27/2023
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