Provider Demographics
NPI:1972875763
Name:TREHARNE, GREGORY CHRISTOPHER (MD)
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:CHRISTOPHER
Last Name:TREHARNE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-4903
Mailing Address - Country:US
Mailing Address - Phone:570-271-6144
Mailing Address - Fax:
Practice Address - Street 1:100 ONE NORWEGIAN PLAZA
Practice Address - Street 2:
Practice Address - City:POTTSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17901-6029
Practice Address - Country:US
Practice Address - Phone:570-622-8500
Practice Address - Fax:570-622-0261
Is Sole Proprietor?:No
Enumeration Date:2012-02-08
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3361021262085R0001X
PAMD4628912085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology