Individual
SEAN T HANLEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1601 CONGRESS ST, PORTLAND, ME 04102-2102
(207) 774-5113
(207) 874-0320
Mailing address
1601 CONGRESS ST, PORTLAND, ME 04102-2102
(207) 774-5113
(207) 874-0320
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
011833
ME
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
011833
ME
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
011833
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0064411
AETNA
ME
01
—
018189
ANTHEM
ME
01
—
CIGNA
M6540
ME
Enumeration date
10/07/2005
Last updated
09/11/2025
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