Individual
HANA EDELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
47 TOWN ST, NORWICH, CT 06360-2323
(860) 892-7042
Mailing address
47 TOWN ST, NORWICH, CT 06360-2315
(860) 892-7042
(860) 823-3060
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
033430
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001334309
—
CT
Enumeration date
03/22/2006
Last updated
04/11/2018
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