MEDICARE: RYAN J HAWLEY DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	268891	NY
2	390200000X	Student in an Organized Health Care Education/Training Program
3	208600000X	Surgery Physician	OS019190	PA

General Provider Information

NPI Number	:	1396997524
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYAN J HAWLEY DO

Provider Business Mailing Address
First Line	:	2100 MACK BLVD FL 4
Second Line	:
City	:	ALLENTOWN
State	:	PA
Zip	:	18103-5622
Country	:	US
Telephone Number	:	484-884-4500
Fax Number	:

Provider Business Practice Location Address
First Line	:	2226 BLAKESLEE BOULEVARD DR E STE 200
Second Line	:
City	:	LEHIGHTON
State	:	PA
Zip	:	18235-9619
Country	:	US
Telephone Number	:	570-622-1400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2008
Last Update Date	:	03/17/2025

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