Heneghan, Mallorie

Heneghan, Mallorie is an individual health care provider with primary practice located at 3401 Civic Center Blvd 9Nw, Room 55, Philadelphia PA 19104-4319. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is her primary health care specialty. Heneghan, Mallorie can be contacted via phone (215) 590-1220.

Contact Information

Primary practice address
3401 Civic Center Blvd 9Nw, Room 55 Philadelphia PA 19104-4319
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MT205738 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 11744120-1205 Utah

Profile Details

NPI number 1477966927
LBN Legal business name Heneghan, Mallorie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2014
Last updated Dec 17th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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