Provider Demographics
NPI:1982444873
Name:ALHALASEH, MARWAN
Entity type:Individual
Prefix:
First Name:MARWAN
Middle Name:
Last Name:ALHALASEH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7175 CINDY DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-4316
Mailing Address - Country:US
Mailing Address - Phone:513-237-1781
Mailing Address - Fax:
Practice Address - Street 1:7175 CINDY DR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-4316
Practice Address - Country:US
Practice Address - Phone:513-237-1781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-29
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant