Individual
ANTHONY R HAFEZ
Active
Individual
ANTHONY R HAFEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OT017615
PA
207U00000X
Nuclear Medicine Physician
13340715-1204
UT
207U00000X
Nuclear Medicine Physician
Primary
310879-01
NY
Other
Enumeration date
05/30/2017
Last updated
06/21/2024
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