Individual
MR. BYRON LEE HANSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
50 STATE RT 120, EAST RUTHERFORD, NJ 07073-2131
(201) 939-5781
(201) 935-0889
Mailing address
99 BUCKHAVEN HL, UPPER SADDLE RIVER, NJ 07458-1710
(201) 939-5781
(201) 935-0889
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MT00088000
NJ
Other
Enumeration date
02/09/2006
Last updated
07/08/2007
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