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Individual

JOEL HANSFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11 LONG HILL RD, STRATHAM, NH 03885-2274
(603) 205-6019
Mailing address
11 LONG HILL RD, STRATHAM, NH 03885-2274
(603) 205-6019

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
10391
NH
207P00000X
Emergency Medicine Physician
MD14961
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0106189Y0NH01
ANTHEM
NH
05
0112810
MA
05
30201084
NH
05
320810099
ME
01
6010955
MVP
01
930100692
RAILROAD MEDICARE
Enumeration date
08/05/2006
Last updated
04/27/2020
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