| Dr Tracey A Henderson, MD | |
|
4755 Ogletown-stanton Road, Map 1, Suite 116, Newark, DE 19718-2200 | |
| (302) 733-4200 | |
| (302) 733-2711 |
| Full Name | Dr Tracey A Henderson |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 4755 Ogletown-stanton Road, Newark, Delaware |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013188754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 258019 (New York) | Secondary |
| 208000000X | Pediatrics | C1-0011343 (Delaware) | Primary |
| Entity Name | Adirondack Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245446533 PECOS PAC ID: 9638081284 Enrollment ID: O20031103000224 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tracey A Henderson, MD 200 Hygeia Drive, Suite 2300, Cchs Physician Contracting, Newark, DE 19713-2049 Ph: () - | Dr Tracey A Henderson, MD 4755 Ogletown-stanton Road, Map 1, Suite 116, Newark, DE 19718-2200 Ph: (302) 733-4200 |
Dr. Anna Kolano, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Nemours Pediatrics Peoples Plaza, 1400 Peoples Plaza Suite 300, Newark, DE 19702 Phone: 302-836-7820 Fax: 302-836-7826 | |
Dr. Ann Marie Masciantonio, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4735 Ogletown Stanton Rd, M.a.p. #2, Suite 1116, Newark, DE 19713 Phone: 302-368-8653 Fax: 302-368-8836 | |
Angelica Christine Gangemi-hanninen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4735 Ogletown Stanton Rd Ste 1250, Newark, DE 19713 Phone: 302-623-0200 | |
Robert G Locke, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4745 Ogletown Stanton Rd, Suite 217 Medical Arts Pavilion One, Newark, DE 19713 Phone: 302-733-2374 Fax: 302-733-2602 | |
Anna P. Nadhan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4735 Ogletown Stanton Rd Ste 1116, Newark, DE 19713 Phone: 302-368-8612 Fax: 302-368-4384 | |
Devin Marie Sullivan, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 4735 Ogletown Stanton Rd Ste 1250, Newark, DE 19713 Phone: 302-623-0200 Fax: 302-623-0117 |