Individual
JOSEPH HANNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
123 SUMMER ST STE 290N, WORCESTER, MA 01608-1216
(508) 368-3130
(508) 368-3167
Mailing address
123 SUMMER ST STE 290N, WORCESTER, MA 01608-1216
(508) 368-3130
(508) 368-3167
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
205941
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110001143A
—
MA
Enumeration date
01/19/2006
Last updated
05/22/2024
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