Individual
DR. HENRY G DELATORRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
90 BEAVER DR STE 214D, DU BOIS, PA 15801-2441
(814) 375-2287
Mailing address
90 BEAVER DR STE 214D, DU BOIS, PA 15801-2441
(814) 375-2287
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD-027890-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008837220002
—
PA
Enumeration date
07/28/2006
Last updated
06/12/2014
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