Provider Demographics
NPI:1811076193
Name:HANTMAN, RONALD PAUL (MD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:PAUL
Last Name:HANTMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:50 FAIR HARBOUR PL
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:NEW LONDON
Mailing Address - State:CT
Mailing Address - Zip Code:06320-4731
Mailing Address - Country:US
Mailing Address - Phone:860-442-0564
Mailing Address - Fax:
Practice Address - Street 1:50 FAIR HARBOUR PL
Practice Address - Street 2:
Practice Address - City:NEW LONDON
Practice Address - State:CT
Practice Address - Zip Code:06320-4731
Practice Address - Country:US
Practice Address - Phone:860-442-0564
Practice Address - Fax:860-439-0808
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-09-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT044558207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
A67845Medicare UPIN