Individual
GEORGE HENNAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5601 LOCH RAVEN, RUSSELL MORGAN, BALTIMORE, MD 21239
(443) 444-4720
(443) 444-4720
Mailing address
5601 LOCH RAVEN BLVD, SUITE 412 RUSSELL MORGAN BUILDING, BALTIMORE, MD 21239-2945
(443) 444-4720
(443) 444-4720
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
D0059479
MD
207R00000X
Internal Medicine Physician
D0059479
MD
Other
Enumeration date
08/10/2005
Last updated
02/13/2014
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