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NPI Code Detail

MEDICARE: DR. NANCY HANNA DMD

MEDICARE:  DR. NANCY  HANNA  DMD
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
1122300000XDentist18874NJ

General Provider Information

NPI Number : 1578605986
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NANCY HANNA DMD
Provider Business Mailing Address
First Line : 2766 JOHN F KENNEDY BLVD
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07306-5508
Country : US
Telephone Number : 201-433-0773
Fax Number : 201-714-7056
Provider Business Practice Location Address
First Line : 2766 JOHN F KENNEDY BLVD
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07306-5508
Country : US
Telephone Number : 201-433-0773
Fax Number : 201-714-7056
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2007
Last Update Date : 09/03/2013

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Directions to “ DR. NANCY HANNA DMD” Practice Location

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