Most Relevant Information
Provider Data
| NPI Number: | 1003492034 |
| Provider Name: | ERIK JAMES HASENOEHRL MD/PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/21/2021 |
| Last Updated: | 03/21/2021 |
Provider Practice Location
55 FRUIT ST
BOSTON
MA
021142696
Practice Location Phone/Fax
| Phone: | 6177262000 |
| Fax: |
Provider Mailing Location
411 E 83RD ST APT 1C
NEW YORK
NY
100286163
Provider Mailing Phone/Fax
| Phone: | 2084092089 |
| Fax: |