Individual
DR. HENRY WESLEY RATLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 EWING ST, SUITE A-8, PRINCETON, NJ 08540-2757
(609) 921-2689
(609) 279-1745
Mailing address
101 BERTRAND DR, PRINCETON, NJ 08540-2903
(609) 924-6072
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA03747700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3839303
—
NJ
Enumeration date
06/22/2006
Last updated
04/04/2013
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