Individual
MORITZ H HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 BRICKHILL AVENUE, SOUTH PORTLAND, ME 04106
(207) 773-1728
(207) 772-4062
Mailing address
301 US ROUTE 1, BUILDING C, SCARBOROUGH, ME 04074-7609
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
015054
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301640099
—
ME
05
—
30200670
—
NH
Enumeration date
05/25/2006
Last updated
01/10/2011
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