Individual
WILLIAM J HENRY
Active
Individual
WILLIAM J HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD033208E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011874410005
—
PA
01
—
0091405000
KEYSTONE IBC
PA
01
—
30124827
KEYSTONE FIRST
PA
01
—
4131823
AETNA PPO
PA
01
—
7508097
AETNA HMO
PA
01
—
HE 192740
BLUE SHIELD
PA
Enumeration date
10/24/2006
Last updated
07/01/2013
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