Individual
HANLON B. JEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
39400 PASEO PADRE PKWY, FREMONT, CA 94538-2310
(510) 795-3000
Mailing address
1800 HARRISON ST FL 7, OAKLAND, CA 94612-3466
(510) 625-6262
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A65574
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A655740
—
CA
Enumeration date
10/25/2006
Last updated
12/08/2021
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