Organization
HANI J TUFFAHA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANI JAWDAT TUFFAHA MD (OWNER)
(570) 323-5352
Entity
Organization
Contact information
Practice address
904 CAMPBELL ST, WILLIAMSPORT, PA 17701-3166
(570) 323-5352
(570) 323-1066
Mailing address
904 CAMPBELL ST, WILLIAMSPORT, PA 17701-3166
(570) 323-5352
(570) 323-1066
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD027307E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008780520001
—
PA
01
—
03021000
CAPITAL BLUE CROSS
PA
01
—
072141
FIRST PRIORITY HEALTH
PA
Enumeration date
02/13/2007
Last updated
08/22/2020
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