Individual
JEFFREY HANISSIAN
Active
Individual
JEFFREY HANISSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
12602
NH
207R00000X
Internal Medicine Physician
Primary
12602
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01Y008509NH03
PROVIDER ID
NH
05
—
1011922
—
VT
05
—
30205497
—
NH
01
—
4146981
PROVIDER ID
NH
01
—
COTT0008186
PROVIDER ID
NH
Enumeration date
09/06/2006
Last updated
09/11/2025
Update your record
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