Healthcare Provider Details

I. General information

NPI: 1932299054
Provider Name (Legal Business Name): HARVEY J HOTCHNER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 02/13/2020
Certification Date: 02/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

384 AIRPORT RD
HAZLE TOWNSHIP PA
18202-3325
US

IV. Provider business mailing address

PO BOX 783311
PHILADELPHIA PA
19178-3311
US

V. Phone/Fax

Practice location:
  • Phone: 570-501-1242
  • Fax: 570-501-1252
Mailing address:
  • Phone: 484-884-4500
  • Fax: 484-884-0699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD425738
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: