Healthcare Provider Details

I. General information

NPI: 1396451787
Provider Name (Legal Business Name): A.-HAHNE ATTIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2023
Last Update Date: 01/27/2023
Certification Date: 01/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 CLIFFWOOD AVE
MATAWAN NJ
07747-3908
US

IV. Provider business mailing address

305 RUSTIC DR
MORGANVILLE NJ
07751-4447
US

V. Phone/Fax

Practice location:
  • Phone: 516-965-5376
  • Fax:
Mailing address:
  • Phone: 516-965-5376
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ABEER ALOUSH
Title or Position: CEO
Credential: PHD
Phone: 516-965-5376