Individual
MARY ANN HANNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2649 SCHOENERSVILLE RD, STE 301, BETHLEHEM, PA 18017-7326
(484) 884-4799
(484) 893-8653
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
C002515
MD
363A00000X
Physician Assistant
C02515
MD
363AM0700X
Medical Physician Assistant
Primary
MA054957
PA
Other
Enumeration date
08/03/2006
Last updated
03/28/2024
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