Individual
DR. MARK JOSEPH HENZES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 S JACKSON AVE, AGH SUBURBAN CAMPUS, PITTSBURGH, PA 15202
(412) 734-6100
(412) 734-6932
Mailing address
320 E NORTH AVE, AGH EMERGENCY ASSOCS, PITTSBURGH, PA 15212
(412) 359-4138
(412) 359-8874
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD039291
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010739500014
—
PA
05
—
0054951000
—
WV
05
—
0134018
—
OH
Enumeration date
08/01/2005
Last updated
04/23/2008
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