Whalio Doctors

NPI 1003362351

Peter Samir Hanna, PAC

Practitioner Medical Physician Assistant Waterbury, CT

Practice location

Address
64 Robbins St, Waterbury, CT 06708
Phone
(704) 340-5079
Mailing address
14 4th St APT a, Danbury, CT 06810-5733

Registered specialties (3)

Medical Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 3800 (CT)
Emergency Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 3800 (CT)
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 1990 (WV)

Registry record

NPI
1003362351
Entity type
Individual
Sex (as registered)
Male
NPI issued
28 Aug 2016
Record last updated
8 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.