Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 039899 | CT |
Y | 111NI0900X | Internist | 039899 | CT |
N | 207RC0000X | Internist - Cardiovascular Disease | 039899 | CT |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 039899 | CT |
NPI | 1184690703 |
---|---|
Provider Name | Dr. Peter S Hahn |
First Address | Uncasville, CT 06382-1374 |
Second Address | Uncasville, CT 06382 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2006 |
Last Update Date | 12/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D400207203 | (02) | CT |
H49800 | (02) |