Individual
JONATHAN MORRIS HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3202
(203) 688-4242
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
82279
CT
390200000X
Student in an Organized Health Care Education/Training Program
Primary
1.084091-RES
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2021
Last updated
04/08/2026
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