Individual provider · Type 1 NPI
Mamdouh S. Hanna, MD
Specialist · Bayonne, NJ
NPI number
1073517462
Active
Practice location
29 E 29th St
Bayonne, NJ 07002-4654
Mailing address
PO Box 464
Rutherford, NJ 07070-0464
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 25MA07574700 (NJ) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1073517462
Mamdouh S. Hanna, MD's National Provider Identifier is 1073517462, issued on Jun 13, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bayonne, NJ. The record was last updated on Jul 8, 2007.