Jerry A. Hanson, M.D. A Professional Corporation in San Jose - Medical Specialty

Jerry A. Hanson, M.D. A Professional Corporation - NPI 1215137963

Jerry A. Hanson, M.D. A Professional Corporation is a Medical Specialty in San Jose, California. Jerry A. Hanson, M.D. A Professional Corporation practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Jerry A. Hanson, M.D. A Professional Corporation is 1215137963. The last update date is 2007-11-14.

Jerry A. Hanson, M.D. A Professional Corporation's current location address is 2030 Forest Ave, San Jose, California. You can contact this provider via phone number 4082952257 and fax number 4082952264. The mailing address for Jerry A. Hanson, M.D. A Professional Corporation is 2030 Forest Ave, San Jose, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jerry A. Hanson, M.D. A Professional Corporation
Address 2030 Forest Ave, San Jose, California
Phone Number 4082952257
Fax Number 4082952264
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Hanson Alan Jerry
Credentials M.D.
Telephone Number 482952257.

NPI Number Detail

NPI Number 1215137963
Provider Enumeration Date 2007-07-20
Last Updated Date 2007-11-14

Provider Mailing Address Detail

Address 2030 Forest Ave
City San Jose
State California (CA)
Post Code 951284833
Phone Number 4082952257
Fax Number 4082952264

Provider's Primary Taxonomy Detail

Speciality Medical Specialty
Taxonomy 261Qm2500X
Licence No C33389
Definition:
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific

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FAQs about Jerry A. Hanson, M.D. A Professional Corporation

What is the unique provider identifier assigned to Jerry A. Hanson, M.D. A Professional Corporation?

The Jerry A. Hanson, M.D. A Professional Corporation has been issued the NPI (National Provider Identifier) 1215137963 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Jerry A. Hanson, M.D. A Professional Corporation is geographically located?

The Jerry A. Hanson, M.D. A Professional Corporation is physically situated at the following location: 2030 Forest Ave, San Jose, CA, 951284833.

What is Jerry A. Hanson, M.D. A Professional Corporation's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jerry A. Hanson, M.D. A Professional Corporation is Medical Specialty, and the taxonomy classification code that categorizes this area of expertise is 261Qm2500X.

When was the Jerry A. Hanson, M.D. A Professional Corporation's 1215137963 issued?

The Jerry A. Hanson, M.D. A Professional Corporation's 1215137963 was issued on 2007-07-20.

As of what date were the details related to Jerry A. Hanson, M.D. A Professional Corporation most recently updated or revised?

The information pertaining to Jerry A. Hanson, M.D. A Professional Corporation, including its address, specialty, and other relevant details, was last updated or revised on 2007-11-14.

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