Individual
MATTHEW J HANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 EAST ADAMS ST, SYRACUSE, NY 13210
(315) 464-9535
(315) 464-6288
Mailing address
251 SALINA MEADOWS PKWY, STE 100, SYRACUSE, NY 13212-4516
(315) 464-2000
(315) 464-2010
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
304561
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06067101
—
NY
Enumeration date
05/16/2013
Last updated
08/20/2020
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