Individual
DR. JOHANNA HAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MD
Contact information
Practice address
1 KNEELAND ST FL 5, BOSTON, MA 02111-1527
(617) 636-6515
Mailing address
327 CENTRE ST APT 207, BOSTON, MA 02130-1280
(617) 417-4189
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
292163
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2016
Last updated
11/17/2023
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