Individual
NIVEEN HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MA72230
NJ
2086S0102X
Surgical Critical Care Physician
MA72230
NJ
2086S0127X
Trauma Surgery Physician
Primary
MA72230
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8823405
—
NJ
Enumeration date
12/01/2005
Last updated
04/29/2021
Update your record
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