Individual
MARY BETH HANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
37 NO FULLERTON AVENUE, MONTCLAIR BREAST CENTER, MONTCLAIR, NJ 07042-3426
(973) 509-1818
(973) 509-0708
Mailing address
37 NO FULLERTON AVENUE, MONTCLAIR, NJ 07042-3426
(973) 509-1818
(973) 509-0708
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00010000
NJ
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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