Individual
DR. PAUL HANISSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5000
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5000
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
9485
NH
207VG0400X
Gynecology Physician
9485
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0RE3766
—
VT
05
—
80003766
—
NH
Enumeration date
07/12/2006
Last updated
04/02/2012
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