Individual
DR. AGHNATIOUS A HANNA AWADALLA HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
316 PROSPECT AVE, HACKENSACK, NJ 07601-2625
(201) 923-0454
(973) 827-6636
Mailing address
316 PROSPECT AVE, HACKENSACK, NJ 07601-2625
(201) 923-0454
(973) 827-6636
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
426745
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-426-745-6
ECFMG
—
Enumeration date
11/03/2017
Last updated
06/16/2018
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