Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 203807 | MA |
N | 2081P2900X | Pain Medicine | 203807 | MA |
NPI | 1184717175 |
---|---|
Provider Name | Joseph A. Hanak |
First Address | Charlestown, MA 02129-3109 |
Second Address | Boston, MA 02111-1526 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 09/12/2015 |