MEDICARE: RICHARD J HANNAH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	34384	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1730192949	OTHER	MA	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730192949
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD J HANNAH MD

Provider Business Mailing Address
First Line	:	81 HIGHLAND AVE
Second Line	:	NORTH SHORE HEALTH SYSTEMS
City	:	SALEM
State	:	MA
Zip	:	01970
Country	:	US
Telephone Number	:	978-354-4173
Fax Number	:

Provider Business Practice Location Address
First Line	:	79 HIGHLAND AVE
Second Line	:	SUITE 302
City	:	SALEM
State	:	MA
Zip	:	01970
Country	:	US
Telephone Number	:	978-744-0650
Fax Number	:	978-744-0655

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	02/15/2026

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