Individual
CHRISTINE MARIE HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
421 COTTAGE GROVE RD, BLOOMFIELD, CT 06002-3170
(860) 242-0034
(860) 242-3301
Mailing address
421 COTTAGE GROVE RD, BLOOMFIELD, CT 06002-3170
(860) 242-0034
(860) 242-3301
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
055463
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005463
STATE LICENSE
CT
Enumeration date
06/04/2013
Last updated
03/07/2023
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