Provider Demographics
NPI:1144497959
Name:HENN, RALPH FRANK III (MD)
Entity type:Individual
Prefix:DR
First Name:RALPH
Middle Name:FRANK
Last Name:HENN
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 64881
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-4881
Mailing Address - Country:US
Mailing Address - Phone:410-448-7112
Mailing Address - Fax:410-448-6296
Practice Address - Street 1:2200 KERNAN DR
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21207-6665
Practice Address - Country:US
Practice Address - Phone:410-448-7112
Practice Address - Fax:410-448-6296
Is Sole Proprietor?:No
Enumeration Date:2008-05-12
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY237621207X00000X
MA239423207XX0005X
MDD0070821207X00000X, 207XX0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1144497959OtherINDIVIDUAL NPI