Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mallorie Heneghan, MD

Individual provider Pediatrics Physician · NPI 1477966927

Mallorie Heneghan, MD is a Pediatrics Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania and Utah. Registered with an NPI since 2014.

Licensed in
PA, UT
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3401 Civic Center Blvd 9NW Rm 55
Philadelphia, PA 19104-4319
Phone: (215) 590-1220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Hematology & Oncology Physician (primary) Taxonomy 2080P0207X · Licence 11744120-1205 (UT)
Pediatrics Physician Taxonomy 208000000X · Licence MT205738 (PA)

Record details

NPI number1477966927
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 3, 2014
Last updated in NPPESDecember 17, 2021
Certification dateDecember 17, 2021

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