Most Relevant Information
Provider Data
| NPI Number: | 1003497371 |
| Provider Name: | GABRIEL HANNA |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/19/2021 |
| Last Updated: | 04/19/2021 |
Provider Practice Location
150 BERGEN ST
NEWARK
NJ
071032496
Practice Location Phone/Fax
| Phone: | 2013975249 |
| Fax: |
Provider Mailing Location
250 HOWARD ST
DUMONT
NJ
076281939
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |