Individual
DR. SADEER B HANNUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 MIDDLETOWN BLVD, SUITE 110, LANGHORNE, PA 19047-1819
(215) 752-8564
(215) 752-6968
Mailing address
400 MIDDLETOWN BLVD, SUITE 110, LANGHORNE, PA 19047-1819
(215) 752-8564
(215) 752-6968
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
MD042711E
PA
207W00000X
Ophthalmology Physician
Primary
MD042711E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0115036000
KEYSTONE HEALTH PLAN EAST
PA
01
—
232550551
HORIZON
NJ
01
—
428668
BLUE CROSS/BLUE SHIELD
PA
01
—
57059
AETNA
PA
Enumeration date
05/18/2006
Last updated
08/14/2014
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