Individual
CARMINE ELISE HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
514 STRAND STREET, FREDERIKSTED, VI 00841
(340) 772-0260
Mailing address
PO BOX 311, ROCKLAND, MA 02370-0311
(340) 244-5245
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
209763
MA
207Q00000X
Family Medicine Physician
Primary
1337
VI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150151
—
MA
01
—
454826
TUFTS
MA
01
—
J24169
BS
MA
Enumeration date
05/05/2006
Last updated
05/26/2016
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