Most Relevant Information
Provider Data
| NPI Number: | 1003362351 |
| Provider Name: | PETER SAMIR HANNA PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 207P00000X |
| Specialty: | Emergency Medicine |
| License Number: | 3800 |
Most Important Dates
| Enumeration Date: | 08/28/2016 |
| Last Updated: | 07/08/2018 |
Provider Practice Location
64 ROBBINS ST
WATERBURY
CT
06708
Practice Location Phone/Fax
| Phone: | 7043405079 |
| Fax: |
Provider Mailing Location
14 4TH ST APT A
DANBURY
CT
068105733
Provider Mailing Phone/Fax
| Phone: | 7043405079 |
| Fax: |