Provider Demographics
NPI:1275832826
Name:HENRICKSON, SARAH EMILY (MD PHD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:EMILY
Last Name:HENRICKSON
Suffix:
Gender:F
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3401 CIVIC CENTER BLVD
Mailing Address - Street 2:DIVISION OF ALLERGY IMMUNOLOGY
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-4319
Mailing Address - Country:US
Mailing Address - Phone:215-590-2549
Mailing Address - Fax:215-590-4259
Practice Address - Street 1:3401 CIVIC CENTER BLVD
Practice Address - Street 2:3550 MARKET STREET, 3RD FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4319
Practice Address - Country:US
Practice Address - Phone:215-590-2549
Practice Address - Fax:215-590-4259
Is Sole Proprietor?:No
Enumeration Date:2011-03-22
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT204850208000000X, 2080P0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0201XAllopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/Immunology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics