Provider Demographics
NPI:1972716058
Name:HANAUSKE, HARTMUT MARTIN (MD PHD)
Entity Type:Individual
Prefix:PROF
First Name:HARTMUT
Middle Name:MARTIN
Last Name:HANAUSKE
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:PROF
Other - First Name:HARTMUT
Other - Middle Name:MARTIN
Other - Last Name:HANAUSKE-ABEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD PHD
Mailing Address - Street 1:368 MAURO RD
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD CLIFFS
Mailing Address - State:NJ
Mailing Address - Zip Code:07632-1707
Mailing Address - Country:US
Mailing Address - Phone:201-567-0158
Mailing Address - Fax:201-567-0169
Practice Address - Street 1:185 S ORANGE AVE
Practice Address - Street 2:MSB E-506
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-2757
Practice Address - Country:US
Practice Address - Phone:973-972-5276
Practice Address - Fax:973-972-0178
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA075250002080H0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080H0002XAllopathic & Osteopathic PhysiciansPediatricsHospice and Palliative Medicine