Individual
DR. DERICK ANTHONY HANLAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1701 N GEORGE MASON DR, RADIATION ONCOLOGY DEPT, ARLINGTON, VA 22205-3610
(703) 558-6284
(703) 558-5512
Mailing address
891 LINGANORE DR, MC LEAN, VA 22102-2143
(703) 558-6284
(703) 558-5512
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
0101031979
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7276192
—
VA
Enumeration date
08/09/2005
Last updated
07/08/2007
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