Individual
EZZAT A HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 HIGH BLVD, READING, PA 19607-2155
(610) 775-2799
(610) 775-3284
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD038616L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01395901
CAPITAL BLUE CROSS
PA
01
—
020274
HIGHMARK BLUE SHIELD
PA
05
—
101933939
—
PA
Enumeration date
12/29/2005
Last updated
11/04/2014
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