Individual
HANSEL DESOUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3729 EASTON NAZARETH HWY, EASTON, PA 18045-8344
(610) 559-7110
(610) 923-9661
Mailing address
3735 EASTON NAZARETH HWY, SUITE 201, EASTON, PA 18045
(610) 438-2427
(610) 923-9661
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD034127E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010261460017
—
PA
Enumeration date
08/09/2005
Last updated
01/09/2009
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