Individual
MARTIN HENRY
Active
Individual
MARTIN HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
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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