Doctor Name: | DR. LARRY STEVEN HAHN |
NPI Number: | 1619911609 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | OS004862L |
Business Practice Address: | 339 E Street Rd Trevose, PA - 190537711 |
Business Phone Number: | 2675748100 |
Business Fax Number: | 2675748111 |
Mailing Address: | 339 E Street Rd, TREVOSE |
State: | PA |
Postal Code: | 190537711 |
Phone Number: | 2675748100 |
Fax Number: | 2675748111 |
NPI Enumeration Date: | 06/16/2006 |
NPI Last Update Date: | 03/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | OS004862L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |