Individual
DR. JOSEPH HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18 HAYNES ST, MANCHESTER, CT 06040-4111
(860) 649-7557
Mailing address
18 HAYNES ST, MANCHESTER, CT 06040-4111
(860) 649-7557
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
017562
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004271590
AVRS
—
01
—
1720274541
GROUP NPI
—
01
—
C01038
PTAN
CT
Enumeration date
03/14/2006
Last updated
02/20/2014
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