Individual
ALEXANDER A HANNENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2014 WASHINGTON ST, NEWTON WELLESLEY HOSPITAL DEPT. OF ANESTHESIA, NEWTON, MA 02462-1607
(617) 243-6298
(617) 243-6184
Mailing address
PO BOX 414628, PHYSICIANS ACCOUNTS RECEIVABLE, BOSTON, MA 02241-4628
(781) 449-6150
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
46014
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3009076
—
MA
Enumeration date
09/20/2006
Last updated
07/08/2007
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