Individual provider · Type 1 NPI

Scott Hanwacker, PA

Surgical Physician Assistant · Freehold, NJ

NPI number 1457531121 Active

Practice location

301 Professional View Dr
Freehold, NJ 07728-7904

Fax (732) 720-2556

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X009211 (NY)
Surgical Physician Assistant 363AS0400X009211-1 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1457531121

Scott Hanwacker, PA's National Provider Identifier is 1457531121, issued on Nov 9, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Freehold, NJ. The record was last updated on Feb 28, 2011.