Individual
MR. TIMOTHY ERIC HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
32 STRAWBERRY HILL CT, STAMFORD, CT 06902-2594
(203) 276-4400
(203) 276-4401
Mailing address
32 STRAWBERRY HILL CT, STAMFORD, CT 06902-2594
(203) 276-4400
(203) 276-4401
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
001135
CT
Other
Enumeration date
05/01/2007
Last updated
01/13/2016
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