Individual
FATEMA ESAA HASSONJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC DERMATOLOGY, PHILADELPHIA, PA 19104-4319
(215) 590-2169
Mailing address
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC DERMATOLOGY, PHILADELPHIA, PA 19104-4319
(215) 590-2169
Taxonomy
Speciality
Code
Description
License number
State
207NP0225X
Pediatric Dermatology Physician
Primary
MT231729
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2020
Last updated
10/21/2024
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