Basic Information
Provider Information
NPI: 1487770079
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SOBEL
FirstName: HENRY
MiddleName: J
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 12622
Address2:  
City: BELFAST
State: ME
PostalCode: 049154017
CountryCode: US
TelephoneNumber: 4434816469
FaxNumber: 4434816515
Practice Location
Address1: 2000 MEDICAL PKWY
Address2: SUITE 310
City: ANNAPOLIS
State: MD
PostalCode: 214013742
CountryCode: US
TelephoneNumber: 4102667755
FaxNumber: 4102661141
Other Information
ProviderEnumerationDate: 03/22/2007
LastUpdateDate: 11/27/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XD22950MDY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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