Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 25MA10083900 | NJ |
N | 2080P0205X | Pediatric Endocrinologist | C10012125 | DE |
N | 2080P0205X | Pediatric Endocrinologist | MT206741 | PA |
NPI | 1053631291 |
---|---|
Provider Name | Dr. Patrick C Hanley |
First Address | Camden, NJ 08103-1088 |
Second Address | Wilmington, DE 19803-3607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2010 |
Last Update Date | 16/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0085935 | (05) | OH |