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Individual

MADOUNA GAMAL HANNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
230 E RIDGEWOOD AVE, PARAMUS, NJ 07652
(201) 967-4000
(201) 967-4117
Mailing address
30 BERGEN ST RM 1205, NEWARK, NJ 07107-3000
(972) 972-0037
(973) 972-0743

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MB09675100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0638234
NJ
Enumeration date
04/10/2012
Last updated
10/01/2018
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