Organization
HANOVER ORTHOPAEDIC ASSOCIATES,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES H ELLISON MD (PRESIDENT)
(717) 632-5259
Entity
Organization
Contact information
Practice address
207 BLOOMING GROVE RD, HANOVER, PA 17331-7917
(717) 632-5259
(717) 632-2422
Mailing address
207 BLOOMING GROVE RD, HANOVER, PA 17331-7917
(717) 632-5259
(717) 632-2422
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
43590
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006797100002
—
PA
01
—
02458600
CAPITAL BLUE CROSS
—
01
—
200027737
RAILROAD MEDICARE
—
01
—
43590
BCBS
—
Enumeration date
06/14/2005
Last updated
01/11/2010
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