Individual
MIRIAM HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
155 POLIFLY RD STE 301, HACKENSACK, NJ 07601-1749
(201) 343-6364
Mailing address
3 UNIVERSITY PLZ STE 205, HACKENSACK, NJ 07601-6208
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA11030500
NJ
Other
Enumeration date
03/20/2018
Last updated
11/14/2022
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