Individual
CHARLES ALFRED HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BROOKLINE PLACE, SUITE 502, BROOKLINE, MA 02445
(617) 278-0272
(617) 278-2120
Mailing address
1 BROOKLINE PLACE, SUITE 502, BROOKLINE, MA 02445
(617) 278-0272
(617) 278-2120
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
154458
MA
2084P0804X
Child & Adolescent Psychiatry Physician
154458
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110060905
—
MA
05
—
3191176
—
MA
Enumeration date
09/26/2006
Last updated
05/08/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us