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Individual

EDWARD JOSPEH HANNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2231 BURDETT AVE, SUITE 130, TROY, NY 12180-2447
(518) 272-0171
(517) 271-6580
Mailing address
2231 BURDETT AVE, SUITE 130, TROY, NY 12180-2447
(518) 272-0171
(517) 271-6580

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
160806
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00890042
NY
Enumeration date
08/09/2006
Last updated
05/12/2008
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