Individual
DR. TERRENCE E. HENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2301 S BROAD ST, PHILADELPHIA, PA 19148-3542
(215) 952-9136
(215) 952-9138
Mailing address
615 CHESTNUT ST, 14TH FLOOR, CENTRAL ENROLLMENT, PHILADELPHIA, PA 19106-4404
(215) 955-9655
(215) 955-2420
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD-054814-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7333706
—
NJ
Enumeration date
07/18/2006
Last updated
11/01/2007
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