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Individual

MARTIN HENRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
833 CHESTNUT ST STE 210, PHILADELPHIA, PA 19107-4405
(215) 955-5638
Mailing address
833 CHESTNUT ST STE 210, PHILADELPHIA, PA 19107-4405
(215) 955-5638

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
OS021907
PA
2084P0800X
Psychiatry Physician
Primary
OT020037
PA

Other

Enumeration date
04/09/2020
Last updated
11/29/2023
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