Provider Demographics
NPI:1821746561
Name:HANNA, TAMER (MB CHB, ARDMS, RVT)
Entity Type:Individual
Prefix:MR
First Name:TAMER
Middle Name:
Last Name:HANNA
Suffix:
Gender:M
Credentials:MB CHB, ARDMS, RVT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 ATKINS ST
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-1625
Mailing Address - Country:US
Mailing Address - Phone:508-292-0653
Mailing Address - Fax:
Practice Address - Street 1:67 UNION STREET MEDICAL OFFICE
Practice Address - Street 2:SUIT E 306
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-0176
Practice Address - Country:US
Practice Address - Phone:508-720-4980
Practice Address - Fax:508-463-4639
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-11
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2280062085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound