Individual provider · NPI-1

Hisham Abusamhadana, MD

Family Medicine · Erie, PA

NPI number1689087306
StatusActive
Last updated in NPPESFeb 10, 2023

Details

NPI
1689087306
Entity type
Individual (NPI-1)
Name
Hisham Abusamhadana
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 10, 2014
Certification date
Feb 10, 2023
Last updated
Feb 10, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineMT207267PAYes

Practice location

2314 Sassafras St
3rd Floor
Erie, PA 16502-2722

Phone 814-452-5105

Mailing address

232 W 25th St Fl 9
Erie, PA 16544-2722

Phone 814-452-7605 · Fax 814-452-5039

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