MEDICARE: DR. EMILE HANNA GALIB M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	MD018128Y	PA

General Provider Information

NPI Number	:	1538164777
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMILE HANNA GALIB M.D.

Provider Business Mailing Address
First Line	:	1088 W BALTIMORE PIKE
Second Line	:	STE 2306
City	:	MEDIA
State	:	PA
Zip	:	19063-5146
Country	:	US
Telephone Number	:	610-565-9313
Fax Number	:	610-892-3892

Provider Business Practice Location Address
First Line	:	1088 W BALTIMORE PIKE
Second Line	:	STE 2306
City	:	MEDIA
State	:	PA
Zip	:	19063-5146
Country	:	US
Telephone Number	:	610-565-9313
Fax Number	:	610-892-3892

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	03/12/2008

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