Healthcare Provider Details

I. General information

NPI: 1245219328
Provider Name (Legal Business Name): FLYNN & HANLEY SURGICAL ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2006
Last Update Date: 11/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 S 7TH AVE SUITE 3070
WEST READING PA
19611-1410
US

IV. Provider business mailing address

301 S 7TH AVE SUITE 3070
WEST READING PA
19611-1410
US

V. Phone/Fax

Practice location:
  • Phone: 610-375-4381
  • Fax: 610-375-3770
Mailing address:
  • Phone: 610-375-4381
  • Fax: 610-375-3770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD058703L
License Number StatePA

VIII. Authorized Official

Name: SHELLY R STONE
Title or Position: OFFICE MANAGER
Credential:
Phone: 610-375-4381