Organization
THEODORE HANLEY MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE E HANLEY MD (MEDICAL DIRECTOR)
(347) 461-2940
Entity
Organization
Contact information
Practice address
73 JEREMY CT, MONROE, NJ 08831-8587
(347) 461-2940
Mailing address
1919 MADISON AVE OFC 1, NEW YORK, NY 10035-2745
(212) 987-1777
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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