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Individual

TERRANCE P HANLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
301 S 7TH AVE, SUITE 3070, WEST READING, PA 19611-1410
(610) 375-4381
(610) 375-3770
Mailing address
301 S 7TH AVE, SUITE 3070, WEST READING, PA 19611-1410
(610) 375-4381
(610) 375-3770

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD057267L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0016352640006
PA
01
01171501
CAPITAL BLUE CROSS
PA
01
895174
HIGHMARK BLUE SHIELD
PA
Enumeration date
04/03/2006
Last updated
11/03/2010
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