Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 19127 | NH |
N | 2084N0400X | Neurologist | 261492 | MA |
NPI | 1023437597 |
---|---|
Provider Name | Anas Hannoun |
First Address | Manchester, NH 03102-3766 |
Second Address | Manchester, NH 03102-3766 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2014 |
Last Update Date | 28/12/2018 |