Healthcare Provider Details

I. General information

NPI: 1518960293
Provider Name (Legal Business Name): HILARY FIELD MB B.CH. M.R.C.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 W LANCASTER AVE STE 3
WAYNE PA
19087-4043
US

IV. Provider business mailing address

110 W LANCASTER AVE STE 3
WAYNE PA
19087-4043
US

V. Phone/Fax

Practice location:
  • Phone: 610-293-2229
  • Fax: 610-293-2231
Mailing address:
  • Phone: 610-293-2229
  • Fax: 610-293-2231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD040200L
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: