Individual
ANDREA HANAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 NUTT ROAD, PHOENIXVILLE, PA 19460
(610) 983-1221
Mailing address
PO BOX 425, LEDERACH, PA 19450-0425
(732) 528-0006
(732) 349-6030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD015553E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009616400017
—
PA
Enumeration date
08/01/2006
Last updated
09/09/2011
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