1821746561 NPI number — MR. TAMER HANNA MB CHB, ARDMS, RVT

Table of content: MR. TAMER HANNA MB CHB, ARDMS, RVT (NPI 1821746561)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821746561 NPI number — MR. TAMER HANNA MB CHB, ARDMS, RVT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HANNA
Provider First Name:
TAMER
Provider Middle Name:
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
MB CHB, ARDMS, RVT
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821746561
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/11/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
41 ATKINS ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BRIGHTON
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02135-1625
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-292-0653
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
67 UNION STREET MEDICAL OFFICE
Provider Second Line Business Practice Location Address:
SUIT E 306
Provider Business Practice Location Address City Name:
NATICK
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01760-0176
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-720-4980
Provider Business Practice Location Address Fax Number:
508-463-4639
Provider Enumeration Date:
03/11/2022

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2085U0001X , with the licence number:  228006 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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