Individual
ROBERT HANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
70 EAST ST, METHUEN, MA 01844-4597
(978) 682-3004
Mailing address
PO BOX 9135, ATT: SHARON SILVA, BROOKLINE, MA 02446-9135
(800) 927-0002
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
37890
MA
2085R0202X
Diagnostic Radiology Physician
5544
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2032589
—
MA
05
—
81303244
—
NH
Enumeration date
09/13/2005
Last updated
12/19/2007
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