Individual
DR. ROBERT SAMUEL HANLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
76 JOHN GLENN DR, PHOENIXVILLE, PA 19460-1908
(610) 383-5030
Mailing address
76 JOHN GLENN DR, PHOENIXVILLE, PA 19460-1908
(610) 383-5030
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC001740L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005061640003
—
PA
01
—
0050616401
AMERICHOICE
PA
01
—
2701432
EVERCARE
PA
01
—
441480380
PALETTA GPA
PA
05
—
71809000
—
NJ
01
—
HA73880
BLUE SHIELD
PA
Enumeration date
01/14/2007
Last updated
12/27/2012
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