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Contact Information

SCOTT HANWACKER, PA
301 PROFESSIONAL VIEW DR
FREEHOLD TOWNSHIP, NJ07728-7904
 Phone: 732-720-2555
 Fax: 732-720-2556
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for SCOTT HANWACKER · (Male)

NPI Number 1457531121
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 11/09/2007
Last updated 02/28/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 009211
  • NY License # 009211-1
Hospital affiliation(s)
  • CENTRASTATE MEDICAL CENTER - (Acute Care)
    901 WEST MAIN STREET
    FREEHOLD, NJ 07728
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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