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Contact Information

BRADLEY A HANSEN, MD
260 TREMONT ST
FLOORS 9-11
BOSTON, MA02116-5603
 Phone: 617-636-4600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for BRADLEY A HANSEN · (Male)

NPI # 1114284825
Status Active
Credentials MD
Entity Individual
Enumeration date 04/19/2012
Last updated 09/06/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 266012
  • NM License # RS2015-0471
Hospital affiliation(s)
  • UNIVERSITY HEALTH CARE/UNIV HOSPITALS AND CLINICS - (Acute Care)
    50 NORTH MEDICAL DRIVE
    SALT LAKE CITY, UT 84132
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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