Individual
ROBERT HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
24459 SUSSEX HWY, SEAFORD, DE 19973-4433
(302) 629-3099
(302) 629-6059
Mailing address
24459 SUSSEX HWY, SEAFORD, DE 19973-4433
(302) 629-3099
(302) 629-6059
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C50000399
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437138351
—
DE
Enumeration date
01/10/2006
Last updated
10/11/2016
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