Provider Demographics
NPI:1922269638
Name:ANDERSON, ASHLEY HANNAH (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:HANNAH
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:266 LANCASTER AVE
Mailing Address - Street 2:200
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-3256
Mailing Address - Country:US
Mailing Address - Phone:610-644-6900
Mailing Address - Fax:610-644-4708
Practice Address - Street 1:266 LANCASTER AVE
Practice Address - Street 2:200
Practice Address - City:MALVERN
Practice Address - State:PA
Practice Address - Zip Code:19355-3256
Practice Address - Country:US
Practice Address - Phone:610-644-6900
Practice Address - Fax:610-644-4708
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-24
Last Update Date:2015-10-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD455771207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine