Healthcare Provider Details

I. General information

NPI: 1346214004
Provider Name (Legal Business Name): JAMES MICHAEL HURLEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2006
Last Update Date: 06/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 LAWN AVE BLDG 3
SELLERSVILLE PA
18960-1575
US

IV. Provider business mailing address

711 LAWN AVE BLDG 3
SELLERSVILLE PA
18960-1575
US

V. Phone/Fax

Practice location:
  • Phone: 215-257-3700
  • Fax: 215-257-0360
Mailing address:
  • Phone: 215-257-3700
  • Fax: 215-257-0360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD045315E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: