MEDICARE: DR. JAMES T. HANLON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	MD015652E	PA

General Provider Information

NPI Number	:	1407983257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES T. HANLON M.D.

Provider Business Mailing Address
First Line	:	12 COLONIAL DR
Second Line	:
City	:	MCKEESPORT
State	:	PA
Zip	:	15135-3108
Country	:	US
Telephone Number	:	412-751-3299
Fax Number	:

Provider Business Practice Location Address
First Line	:	12 COLONIAL DR
Second Line	:
City	:	MCKEESPORT
State	:	PA
Zip	:	15135-3108
Country	:	US
Telephone Number	:	412-751-3299
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	07/08/2007

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