Individual
HASSAN Y KHALIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 HOSPITAL DR, MONTROSE, PA 18801
(570) 278-3801
(570) 278-4312
Mailing address
100 HOSPITAL DR, MONTROSE, PA 18801
(570) 278-3801
(570) 278-4312
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD062984L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01715454
—
PA
Enumeration date
11/15/2005
Last updated
12/04/2013
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