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Individual

JONATHAN ZAKARIA RIZK HANNA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6 CEDARWOOD LN APT 102, LEBANON, NH 03766-4446
(401) 573-2515
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-5000

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
LP04952
RI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RT-3828
NH

Other

Enumeration date
07/06/2020
Last updated
07/16/2021
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