Individual
TODD DOUGLAS HENRY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
547 S COLLEGE AVENUE, NEWARK, DE 19716
(302) 465-2335
Mailing address
304 DOGWOOD AVE FL 33160, EGG HARBOR TOWNSHIP, NJ 08234-5328
(609) 289-5856
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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