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Individual

DR. HANI JAWDAT TUFFAHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
740 HIGH ST STE 3002, WILLIAMSPORT, PA 17701-3102
(570) 321-2820
(570) 321-2821
Mailing address
1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1900

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD027307E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0008780520001
PA
Enumeration date
11/08/2005
Last updated
12/12/2018
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