Individual
DR. DAVID RICHARD HANSBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(215) 955-6000
Mailing address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(215) 955-6000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT206708
PA
2085R0202X
Diagnostic Radiology Physician
Primary
MT206708
PA
Other
Enumeration date
06/11/2014
Last updated
01/20/2019
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