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Individual

ALBERT A HANLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
101 MAIN ST, STE 110, MEDFORD, MA 02155-4540
(781) 396-4514
(781) 395-4778
Mailing address
101 MAIN ST, STE 110, MEDFORD, MA 02155-4540
(781) 396-4514
(781) 395-4778

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
666
MA

Other

Enumeration date
03/31/2006
Last updated
02/25/2011
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