Individual
DEIRDRE A. HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7253 AMBASSADOR RD, BALTIMORE, MD 21244-2710
(443) 436-1114
Mailing address
7253 AMBASSADOR RD, BALTIMORE, MD 21244-2710
(443) 436-1114
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D0075768
MD
2085R0202X
Diagnostic Radiology Physician
MD445246
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330340300
—
MD
01
—
P01212073
RR MEDICARE
MD
Enumeration date
06/24/2009
Last updated
02/18/2014
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