Individual
DR. LARRY STEVEN HAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
339 E STREET RD, TREVOSE, PA 19053-7711
(267) 574-8100
(267) 574-8111
Mailing address
339 E STREET RD, TREVOSE, PA 19053-7711
(267) 574-8100
(267) 574-8111
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
OS004862L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0894842
—
PA
01
—
197662
BLUE SHIELD
PA
Enumeration date
06/16/2006
Last updated
03/13/2012
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