Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 258733 | NY |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 25MB08985100 | NJ |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | OS014180 | PA |
NPI | 1699086058 |
---|---|
Provider Name | Dr. John P Hanna |
First Address | Flemington, NJ 08822-4946 |
Second Address | Flemington, NJ 08822-4946 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2010 |
Last Update Date | 19/06/2016 |