Provider Demographics
NPI:1275705709
Name:HAWLEY, CORY R (DPM)
Entity Type:Individual
Prefix:
First Name:CORY
Middle Name:R
Last Name:HAWLEY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1501 LANSDOWNE AVE
Mailing Address - Street 2:SUITE 309
Mailing Address - City:DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19023
Mailing Address - Country:US
Mailing Address - Phone:610-534-6330
Mailing Address - Fax:610-534-6339
Practice Address - Street 1:1501 LANSDOWNE AVE
Practice Address - Street 2:SUITE 309
Practice Address - City:DARBY
Practice Address - State:PA
Practice Address - Zip Code:19023
Practice Address - Country:US
Practice Address - Phone:610-534-6330
Practice Address - Fax:610-534-6339
Is Sole Proprietor?:No
Enumeration Date:2008-03-25
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASC005868213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery