Provider Demographics
NPI:1447312368
Name:HEWITT, MAUREEN ROSE (MD)
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:ROSE
Last Name:HEWITT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 E MARSHALL ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-5414
Mailing Address - Country:US
Mailing Address - Phone:610-738-2500
Mailing Address - Fax:610-738-2540
Practice Address - Street 1:440 E MARSHALL ST
Practice Address - Street 2:SUITE 201
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-5414
Practice Address - Country:US
Practice Address - Phone:610-738-2500
Practice Address - Fax:610-738-2540
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD422480174400000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA114938L4KMedicare PIN