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Contact Information

TRACEY A HENDERSON, MD
4755 OGLETOWN-STANTON ROAD
MAP 1, SUITE 116
NEWARK, DE19718-2200
 Phone: 302-733-4200
 Fax: 302-733-2711
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for TRACEY A HENDERSON · (Female)

NPI # 1013188754
Status Active
Credentials MD
Entity Individual
Enumeration date 03/21/2008
Last updated 06/10/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • DE License # C1-0011343
  • NY License # 258019
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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