Individual
DR. CHRISTOPHER L. HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
925 CHESTNUT ST, MEZZANINE, PHILADELPHIA, PA 19107-4216
(215) 955-5050
(215) 955-7499
Mailing address
925 CHESTNUT STREET, MEZZANINE FLOOR, PHILADELPHIA, PA 19107-4201
(215) 955-5050
(215) 955-7499
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD038595E
PA
207RC0000X
Cardiovascular Disease Physician
Primary
MD038595E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001089370
—
PA
05
—
6008101
—
NJ
Enumeration date
07/25/2006
Last updated
01/13/2014
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