# LEE N HANUSCHAK,MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336184498
- **Authorized official:** LEE N HANUSCHAK (MD)
- **Authorized official phone:** (215) 627-1404

## Contact information

- **Practice address:** 829 SPRUCE ST, SUITE 304, PHILADELPHIA, PA 19107-5752
- **Practice address phone:** (215) 627-1404
- **Mailing address:** 829 SPRUCE ST, SUITE 304, PHILADELPHIA, PA 19107-5752

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | MD021132E | PA | Yes |

## Other

- **Enumeration date:** 06/20/2006
- **Last updated:** 08/22/2020