Individual
DR. ROBERT L HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.S.
Contact information
Practice address
10480 LITTLE PATUXENT PKWY, SUITE 220, COLUMBIA, MD 21044-3568
(443) 535-9451
(443) 535-9455
Mailing address
3680 HIPSLEY MILL RD, WOODBINE, MD 21797-7612
(301) 854-6255
(410) 489-7773
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
D0021351
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137031600
—
MD
05
—
137031602
—
MD
01
—
D0021351
MARYLAND LICENSE NUMBER
MD
Enumeration date
03/02/2006
Last updated
03/07/2023
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