Individual
GERALD J. HANSEN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 YORK RD, SUITE 108, JENKINTOWN, PA 19046-2852
(215) 481-2725
Mailing address
500 YORK RD, SUITE 108, JENKINTOWN, PA 19046-2852
(215) 481-2725
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD 032607E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010587850013
—
PA
Enumeration date
07/28/2005
Last updated
07/14/2014
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