Doctor Name: | DENNIS M HANNON |
NPI Number: | 1053314815 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | D0023124 |
Business Practice Address: | 3300 Olney Sandy Spring Rd Suite 330 Olney, MD - 208321494 |
Business Phone Number: | 3017747334 |
Business Fax Number: | 3017747311 |
Mailing Address: | 3300 Olney Sandy Spring Rd, Suite 330 OLNEY |
State: | MD |
Postal Code: | 208321494 |
Phone Number: | 3017747334 |
Fax Number: | 3017747311 |
NPI Enumeration Date: | 05/24/2005 |
NPI Last Update Date: | 02/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | D0023124 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |