Individual
DR. DAVID WAYNE HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
40 OCEANA DR W APT 4C, BROOKLYN, NY 11235-6667
(201) 953-3840
Mailing address
40 OCEANA DR W APT 4C, BROOKLYN, NY 11235-6667
(201) 953-3840
(201) 337-7056
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA07799100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0107549
—
NJ
05
—
02686602
—
NY
01
—
P00717397
RAILROAD MEDICARE
NJ
Enumeration date
02/27/2006
Last updated
02/17/2024
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