Individual
DONALD W HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3306 LAKE ARIEL HWY, HONESDALE, PA 18431-7685
(570) 253-0148
(570) 251-7816
Mailing address
3306 LAKE ARIEL HWY, HONESDALE, PA 18431-7685
(570) 253-0148
(570) 251-7816
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD020397E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000337
—
PA
Enumeration date
01/10/2006
Last updated
02/22/2011
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