MEDICARE: MATTHEW J 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	204F00000X	Transplant Surgery Physician	25MA11715900	NJ

General Provider Information

NPI Number	:	1497191423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW J HANLON M.D.

Provider Business Mailing Address
First Line	:	94 OLD SHORT HILLS RD
Second Line	:
City	:	LIVINGSTON
State	:	NJ
Zip	:	07039-5672
Country	:	US
Telephone Number	:	973-322-9801
Fax Number	:

Provider Business Practice Location Address
First Line	:	94 OLD SHORT HILLS RD
Second Line	:
City	:	LIVINGSTON
State	:	NJ
Zip	:	07039-5672
Country	:	US
Telephone Number	:	973-322-9801
Fax Number	:

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

Provider Enumeration Date	:	05/16/2013
Last Update Date	:	06/02/2026

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