Healthcare Provider Details

I. General information

NPI: 1447518659
Provider Name (Legal Business Name): MAUREEN HILL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MAUREEN HEARN

II. Dates (important events)

Enumeration Date: 04/25/2012
Last Update Date: 04/21/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 CENTRAL AVE
PHILADELPHIA PA
19111-2430
US

IV. Provider business mailing address

3500 N BROAD ST # 1A
PHILADELPHIA PA
19140-4106
US

V. Phone/Fax

Practice location:
  • Phone: 215-707-3133
  • Fax: 215-214-4124
Mailing address:
  • Phone: 215-707-3133
  • Fax: 215-214-4124

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License NumberMD465729
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD465729
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: