Individual
MARIA MANQUEZ HATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
840 WALNUT ST FL 14, PHILADELPHIA, PA 19107-5109
(215) 928-3105
Mailing address
840 WALNUT ST STE 1440, PHILADELPHIA, PA 19107-5109
(215) 928-3105
(215) 928-1140
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
LT000849
PA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
LT000849
PA
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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