Individual
DR. HARRY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 KINGSLEY LN, NORFOLK, VA 23505-4614
(757) 889-5422
Mailing address
PO BOX 844555, BOSTON, MA 02284-4555
(540) 891-8730
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101035627
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7240414
—
VA
Enumeration date
03/29/2006
Last updated
04/20/2016
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