Dr. Henrietta M. Mahoney
Pediatrician General Practice Physician
Nemours Pediatrics Philadelphia Pike 222 Philadelphia Pike
Wilmington
, Delaware 19809-3166
Dr. Henrietta M. Mahoney
Pediatrician General Practice Physician
Nemours Pediatrics Philadelphia Pike 222 Philadelphia Pike
Wilmington
, Delaware 19809-3166
(302) 651-4945
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About
Features
Specialties
- Pediatrician
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Henrietta M. Mahoney
- Po Box 191 Provider Enrollment Dept
- Rockland, DE
- Zip : 19732-0191
- Fax : (302) 651-4945
- Phone : (302) 651-6212
Second Address
- Dr. Henrietta M. Mahoney
- Nemours Pediatrics Philadelphia Pike 222 Philadelphia Pike
- Wilmington, DE
- Zip : 19809-3166
- Fax : (302) 761-4666
- Phone : (302) 761-4660
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | C10007873 | DE |
| Y | 208D00000X | General Practice Physician | C10007873 | DE |
National Provider Identifier
| NPI | 1003907411 |
|---|---|
| Provider Name | Dr. Henrietta M. Mahoney |
| First Address | Rockland, DE 19732-0191 |
| Second Address | Wilmington, DE 19809-3166 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/09/2006 |
| Last Update Date | 29/09/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 101519114 | (05) | PA |
| 149039 | (05) | NJ |
| 4096487 | (05) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.