Individual
IMAN BEN HAMZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
42 N MAIN ST, PITTSTON, PA 18640-1916
(570) 654-0880
Mailing address
25 CHURCH ST, WILKES BARRE, PA 18765-0999
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS023887
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2021
Last updated
08/13/2024
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