Individual
DR. ERIC SAMUEL HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
212 ROUTE 94, SUITE 1-D, VERNON, NJ 07462
(973) 209-2162
(973) 209-2665
Mailing address
532 LAFAYETTE RD, SUITE 300, SPARTA, NJ 07871-4411
(973) 940-0423
(973) 940-0399
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB06308800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7575700
—
NJ
Enumeration date
12/29/2005
Last updated
02/06/2017
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