# RAFAEL J HASBUN MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568763464
- **Authorized official:** DR. RAFAEL J HASBUN M.D. (PRESIDENT)
- **Authorized official phone:** (856) 608-0500

## Contact information

- **Practice address:** 813 E GATE DR, SUITE B, MOUNT LAUREL, NJ 08054-1238
- **Practice address phone:** (856) 608-0500
- **Practice address fax:** (856) 608-0501
- **Mailing address:** 813 E GATE DR, SUITE B, MOUNT LAUREL, NJ 08054-1238
- **Mailing address phone:** (856) 608-0500
- **Mailing address fax:** (856) 608-0501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MA05467700 | NJ | Yes |

## Other

- **Enumeration date:** 11/08/2010
- **Last updated:** 11/22/2010