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NPI Code Detail

MEDICARE: DENNIS M HANNON M.D.

MEDICARE:   DENNIS M HANNON  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
1207QA0505XAdult Medicine PhysicianD0023124MD

General Provider Information

NPI Number : 1053314815
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENNIS M HANNON M.D.
Provider Business Mailing Address
First Line : 3300 OLNEY SANDY SPRING RD
Second Line : SUITE 330
City : OLNEY
State : MD
Zip : 20832-1494
Country : US
Telephone Number : 301-774-7334
Fax Number : 301-774-7311
Provider Business Practice Location Address
First Line : 3300 OLNEY SANDY SPRING RD
Second Line : SUITE 330
City : OLNEY
State : MD
Zip : 20832-1494
Country : US
Telephone Number : 301-774-7334
Fax Number : 301-774-7311
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 02/16/2010

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Directions to “ DENNIS M HANNON M.D.” Practice Location

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