Individual provider · Type 1 NPI

Henry Othersen Jr., MD

Pediatric Surgery Physician · Charleston, SC

NPI number 1073628913 Active

Practice location

171 Ashley Ave
Charleston, SC 29425-0001

Call (843) 792-1414 Map

Mailing address

PO Box 751461
Charlotte, NC 28275-1461

Specialties and licenses

TaxonomyCodeLicense
Pediatric Surgery Physician Primary 2086S0120X3602 (SC)

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

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About NPI 1073628913

Henry Othersen Jr., MD's National Provider Identifier is 1073628913, issued on Aug 20, 2006. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Charleston, SC. The record was last updated on Jul 8, 2007.