Individual
ROBERT W. HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
384 W MAIN ST, MILLBURY, MA 01527-1421
(508) 450-6648
Mailing address
384 W MAIN ST, MILLBURY, MA 01527-1421
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
76423
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110053835A
—
MA
Enumeration date
02/27/2006
Last updated
09/20/2022
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