Basic Information
| Provider Information | |||||||||
| NPI: | 1356501589 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HANSEN | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | ERNEST | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 35 PARK ST | ||||||||
| Address2: | SMILOW CANCER HOSPITAL AT YALE-NEW HAVEN | ||||||||
| City: | NEW HAVEN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 065191110 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2032002100 | ||||||||
| FaxNumber: | 2032002001 | ||||||||
| Practice Location | |||||||||
| Address1: | 35 PARK ST | ||||||||
| Address2: | SMILOW CANCER HOSPITAL AT YALE-NEW HAVEN | ||||||||
| City: | NEW HAVEN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 065191110 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2032002100 | ||||||||
| FaxNumber: | 2032002001 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/11/2008 | ||||||||
| LastUpdateDate: | 07/06/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0001X | 050686 | CT | Y | Allopathic & Osteopathic Physicians | Radiology | Radiation Oncology |
No ID Information.