Most Relevant Information
Provider Data
| NPI Number: | 1003495193 |
| Provider Name: | IMAN BEN HAMZA DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/06/2021 |
| Last Updated: | 08/13/2024 |
Provider Practice Location
42 N MAIN ST
PITTSTON
PA
186401916
Practice Location Phone/Fax
| Phone: | 5706540880 |
| Fax: |
Provider Mailing Location
25 CHURCH ST
WILKES BARRE
PA
187650999
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |