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NPI Code Detail

MEDICARE: MARC ALAN HAHN PA-C

MEDICARE: MARC ALAN HAHN PA-C
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
1363AS0400XSurgical Physician Assistant016330

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750724340
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARC ALAN HAHN PA-C
Provider Business Mailing Address
First Line : 2611 E 13TH ST APT 5K
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-4441
Country : US
Telephone Number : 718-986-7595
Fax Number :
Provider Business Practice Location Address
First Line : 506 6TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11215-3609
Country : US
Telephone Number : 718-780-5942
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2013
Last Update Date : 12/23/2021

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