NPI 1649226655

Moritz H Hansen, MD

Practitioner Urology Physician South Portland, ME

Practice location

Address: 100 Brickhill Avenue, South Portland, ME 04106
Phone: (207) 773-1728
Fax: (207) 772-4062
Mailing address: 301 US Route 1 Building C, Scarborough, ME 04074-7609

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 015054 (ME)

Other Urology providers in Maine →

Registry record

NPI: 1649226655
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 May 2006
Record last updated: 10 Jan 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.