Individual
HASHIBUL HANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
504 SOUTH 54TH STREET, PHILADELPHIA, PA 19143
(215) 748-9000
Mailing address
12 GILL STREET, SUITE 3000, WOBURN, MA 01801
(781) 937-4545
(781) 937-4510
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD431359
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101901819
—
PA
01
—
1019018190001
PROMISE
PA
01
—
1963850
HIGHMARK BS
PA
01
—
2844498000
KEYSTONE
PA
01
—
30045448
KEYSTONE MERCY
PA
Enumeration date
05/01/2007
Last updated
05/27/2008
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