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Individual

DR. MUHANNAD HAMMASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
500 LONDON AVE, MARYSVILLE, OH 43040-5512
(800) 686-4677
Mailing address
332 CONGRESS PARK DR, DAYTON, OH 45459-4133
(800) 726-3627

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35075826B
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000512082
BCBS FOR MARYSVILLE
OH
05
2283943
OH
Enumeration date
06/23/2005
Last updated
02/25/2009
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