Healthcare Provider Details

I. General information

NPI: 1134151772
Provider Name (Legal Business Name): HENRY DANIEL TRAIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 05/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1465 OLD COLONIAL RD
HARRISBURG PA
17112-1908
US

IV. Provider business mailing address

1465 OLD COLONIAL RD
HARRISBURG PA
17112-1908
US

V. Phone/Fax

Practice location:
  • Phone: 717-545-8846
  • Fax:
Mailing address:
  • Phone: 717-545-8846
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberMD020555E
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code202K00000X
TaxonomyPhlebology Physician
License NumberMD020555E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: