Individual
JEFFREY S HANZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3603 GROVE AVE, RICHMOND, VA 23221
(804) 358-2361
(804) 359-0949
Mailing address
3603 GROVE AVE, RICHMOND, VA 23221
(804) 358-2361
(804) 359-0949
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101027753
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006764347
VIRGINIA PREMIER
VA
05
—
006764347
—
VA
01
—
0130837001
CIGNA
VA
01
—
018108
ANTHEM
VA
01
—
0503179
AETNA
VA
01
—
285307
SOUTHERN HEALTH
VA
01
—
45914
OPTIMA
VA
01
—
540597838
UNITED HEALTH CARE
VA
01
—
9589
CARENET
VA
Enumeration date
06/28/2006
Last updated
05/21/2008
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