Individual
DR. MICHAEL SANFORD HANAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 PARKMAN ST, WACC-812, BOSTON, MA 02114-3117
(617) 724-6300
(617) 727-7541
Mailing address
28 HAMPTON RD, WESTWOOD, MA 02090-2426
(781) 461-8779
(617) 726-7541
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
151465
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3170977
—
MA
01
—
J18111
BLUE CROSS/BLUE SHIELD MA
MA
Enumeration date
11/05/2005
Last updated
08/02/2024
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