Provider Demographics
NPI:1457313652
Name:HAHN, WILLIAM CHUN (MD PHD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:CHUN
Last Name:HAHN
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:450 BROOKLINE AVE
Mailing Address - Street 2:DANA-FARBER CANCER INSTITUTE
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5418
Mailing Address - Country:US
Mailing Address - Phone:617-632-2641
Mailing Address - Fax:617-632-4005
Practice Address - Street 1:450 BROOKLINE AVE
Practice Address - Street 2:DANA-FARBER CANCER INSTITUTE
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5418
Practice Address - Country:US
Practice Address - Phone:617-632-2641
Practice Address - Fax:617-632-4005
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2011-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA150494207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
2938104OtherAETNA US HEALTHCARE
43532OtherFALLON COMMUNITY HEALTH P
G45978DFOtherHPHC DFCI ONLY
MAJ17650OtherBLUE CROSS BLUE SHIELD
MA3165221Medicaid
900002593OtherRR MEDICARE BINNEY MED
3000502OtherUNITED HEALTH CARE
150494OtherTUFTS
2972574OtherCIGNA
150494OtherTUFTS
G45978Medicare UPIN