Individual
DR. TRACEY A. HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4755 OGLETOWN-STANTON ROAD, MAP 1, SUITE 116, NEWARK, DE 19718-2200
(302) 733-4200
(302) 733-2711
Mailing address
200 HYGEIA DRIVE, SUITE 2300, CCHS PHYSICIAN CONTRACTING, NEWARK, DE 19713-2049
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
258019
NY
208000000X
Pediatrics Physician
Primary
C1-0011343
DE
Other
Enumeration date
03/21/2008
Last updated
06/10/2015
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