Individual
MR. CHARLES D HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
52 PARK ST, ORONO, ME 04473-4406
(207) 866-0408
(207) 989-5743
Mailing address
52 PARK ST, ORONO, ME 04473-4406
(207) 866-0408
(207) 989-5743
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
014584
ME
2084P0800X
Psychiatry Physician
11849
NH
2084P0800X
Psychiatry Physician
Primary
74077
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3165493
—
MA
Enumeration date
07/26/2005
Last updated
03/17/2008
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