Provider Demographics
NPI:1083076038
Name:HANLEY, STEPHEN CHRISTIAN (MD, PHD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:CHRISTIAN
Last Name:HANLEY
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:843 DE L'EGLISE
Mailing Address - Street 2:
Mailing Address - City:VERDUN
Mailing Address - State:QUEBEC
Mailing Address - Zip Code:H4G2N3
Mailing Address - Country:CA
Mailing Address - Phone:514-933-8355
Mailing Address - Fax:
Practice Address - Street 1:800 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1552
Practice Address - Country:US
Practice Address - Phone:617-636-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-28
Last Update Date:2016-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program