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Individual

HAYAN MOUALLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
703 MARTIN F GIBBONS BLVD, DICKSON CITY, PA 18519-1787
(570) 846-2340
(570) 846-2341
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 846-2340
(570) 846-2341

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
4301090767
MI
207RH0003X
Hematology & Oncology Physician
0101248579
VA
207RH0003X
Hematology & Oncology Physician
47337
TN
207RH0003X
Hematology & Oncology Physician
Primary
MD476253
PA
207RH0003X
Hematology & Oncology Physician
Primary
Q6242
TX

Other

Enumeration date
07/18/2007
Last updated
03/09/2026
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