Individual
DR. CHARLES DONALD HANNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 WASHINGTON ST # 286, FLOATING HOSPITAL FOR CHILDREN, TUFTS MEDICAL CENTER, BOSTON, MA 02111-1552
(617) 636-5078
Mailing address
474 MASSACHUSETTS AVE, APT 3, BOSTON, MA 02118-1139
(617) 433-0067
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
255812
MA
Other
Enumeration date
06/15/2013
Last updated
03/28/2016
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