Provider Demographics
NPI:1093152209
Name:HANNAN, ALLISON T (MD)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:T
Last Name:HANNAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3803 W CHESTER PIKE STE 160
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-2336
Mailing Address - Country:US
Mailing Address - Phone:484-337-1632
Mailing Address - Fax:
Practice Address - Street 1:1088 W BALTIMORE PIKE
Practice Address - Street 2:SUITE 2301 RIDDLE HEALTH CTR 2
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-5123
Practice Address - Country:US
Practice Address - Phone:484-227-8175
Practice Address - Fax:484-227-2130
Is Sole Proprietor?:No
Enumeration Date:2013-05-29
Last Update Date:2025-09-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD457588207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine