Individual
LIANA ANGELICA HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
37 N FULLERTON AVE STE 2, MONTCLAIR, NJ 07042-3446
(973) 509-1818
(973) 509-0708
Mailing address
17 BROWNING TER, OLD BRIDGE, NJ 08857-4220
(516) 457-4505
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00721500
NJ
363AS0400X
Surgical Physician Assistant
Primary
—
NY
Other
Enumeration date
07/22/2020
Last updated
03/02/2026
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