Organization
JOSEPH HANNA,M.D.LLC
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH HANNA M.D. (OWNER MANAGER)
(860) 649-7557
Entity
Organization
Contact information
Practice address
18 HAYNES ST, MANCHESTER, CT 06040-4111
(860) 649-7557
(860) 646-0844
Mailing address
18 HAYNES ST, MANCHESTER, CT 06040-4111
(860) 649-7557
(860) 646-0844
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
17562
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114995321
NPI
—
Enumeration date
09/16/2007
Last updated
01/11/2008
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