Individual
HISHAM M HAFEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 TEMPLE STREET, SUITE 105, NASHUA, NH 03060
(603) 880-9880
(603) 402-9727
Mailing address
30 TEMPLE STREET, SUITE 105, NASHUA, NH 03060
(603) 880-9880
(603) 402-9727
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
41531
MA
2084P0800X
Psychiatry Physician
Primary
7461
NH
2084P0805X
Geriatric Psychiatry Physician
41531
MA
2084P0805X
Geriatric Psychiatry Physician
7461
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30003015
—
NH
05
—
3091074
—
NH
Enumeration date
09/02/2005
Last updated
04/06/2015
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