Individual
ROBERT B HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24 HOSPITAL AVE, DANBURY, CT 06810-6099
(203) 739-7532
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
(612) 294-4903
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
71870
CT
2085R0202X
Diagnostic Radiology Physician
A97152
CA
2085R0204X
Vascular & Interventional Radiology Physician
A97152
CA
Other
Enumeration date
02/07/2007
Last updated
06/28/2022
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