Individual
THOMAS W HANLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
631 AIRPORT ROAD, SUITE 101, HAZLETON, PA 18202
(570) 861-8200
(570) 861-8205
Mailing address
PO BOX 70, MOUNTAIN TOP, PA 18707-0070
(570) 861-8200
(570) 861-8205
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD044497L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012583000010
—
PA
05
—
0012583000011
—
PA
Enumeration date
08/10/2005
Last updated
01/04/2013
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