THEODORE HANNAH

PHILADELPHIA, PA
NPI1447999461
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207T00000X Neurological Surgery
(Licence: PA  MT225481)
Enumeration Date2022-05-27
Last Update Date2022-05-27
Business Address
THEODORE HANNAH
3401 N BROAD ST
PHILADELPHIA, PA 19140-5103
Phone number: 445-235-9507
Mailing Address
THEODORE HANNAH
5312 RIDGE AVE APT 404
PHILADELPHIA, PA 19128-3935
Phone number:
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