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NPI Code Detail

MEDICARE: VALERIE NICOLE HANFT MD

MEDICARE:   VALERIE NICOLE HANFT  MD
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
1207N00000XDermatology PhysicianM0424TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18M7131OTHERTXBCBS OF TEXAS INDIVIDUAL #

General Provider Information

NPI Number : 1528030392
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALERIE NICOLE HANFT MD
Provider Business Mailing Address
First Line : 176 S NEW MIDDLETOWN RD STE 203
Second Line :
City : MEDIA
State : PA
Zip : 19063-5255
Country : US
Telephone Number : 610-566-7300
Fax Number : 610-891-8973
Provider Business Practice Location Address
First Line : 176 S NEW MIDDLETOWN RD STE 203
Second Line :
City : MEDIA
State : PA
Zip : 19063-5255
Country : US
Telephone Number : 610-566-7300
Fax Number : 610-891-8973
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2006
Last Update Date : 12/20/2024

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Directions to “ VALERIE NICOLE HANFT MD” Practice Location

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