Organization
HD MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FOUAD HANNA MD (OWNER)
(201) 670-9215
Entity
Organization
Contact information
Practice address
51 CHESTNUT ST, RIDGEWOOD, NJ 07450-3873
(201) 670-9215
Mailing address
51 CHESTNUT ST, RIDGEWOOD, NJ 07450-3873
(201) 670-9215
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA04027200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8206104
—
NJ
Enumeration date
04/01/2009
Last updated
04/01/2009
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