Provider Demographics
NPI:1629660618
Name:DANY N. HANNA, D.O., P.C.
Entity Type:Organization
Organization Name:DANY N. HANNA, D.O., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:DANY
Authorized Official - Middle Name:NINOS
Authorized Official - Last Name:HANNA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:508-479-4355
Mailing Address - Street 1:5 STEVENS CT
Mailing Address - Street 2:
Mailing Address - City:SOMERDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:08083-3007
Mailing Address - Country:US
Mailing Address - Phone:508-479-4355
Mailing Address - Fax:
Practice Address - Street 1:200 PROVIDENCE HWY STE 202
Practice Address - Street 2:
Practice Address - City:DEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02026-1881
Practice Address - Country:US
Practice Address - Phone:508-479-4355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-10
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty