Mahoney, Henrietta M.

Mahoney, Henrietta M. is an individual health care provider with primary practice located at Nemours Pediatrics Philadelphia Pike 222 Philadelphia Pike, Wilmington DE 19809-3166. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Mahoney, Henrietta M. can be contacted via phone (302) 761-4660.

Contact Information

Primary practice address
Nemours Pediatrics Philadelphia Pike 222 Philadelphia Pike Wilmington DE 19809-3166
Phone: (302) 761-4660
Fax: (302) 761-4666
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X C10007873 Delaware
Allopathic & Osteopathic Physicians / General Practice 208D00000X C10007873 Delaware

Profile Details

NPI number 1003907411
LBN Legal business name Mahoney, Henrietta M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Sep 29th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003907411 NPPES
New Jersey MEDICAID 149039
New Jersey MEDICAID 101519114
New Jersey MEDICAID 4096487

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