Mr. Scott Hanwacker PA
Surgical Physician Assistant in Freehold, NJ(View on Map)
Full Name
Mr. Scott Hanwacker PA
NPI Number
1457531121
NPI Type
Individual Provider
Gender
Male
Enumeration Date
11/09/2007
Specialties
(Taxonomies)Licenses
State
New York
New York
License Number
009211
009211-1
Contact
Information
Purpose
Mailing
Location
Address
301 PROFESSIONAL VIEW DR
301 PROFESSIONAL VIEW DR
City
Freehold
Freehold
State
NJ
NJ
Postal Code
07728-7904
07728-7904
Country
US
US
Telephone Number
(732) 720-2555
(732) 720-2555
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/28/2011
Provider Address
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