Individual
HASAN NEZAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, RAVDIN 2ND FLOOR, PHILADELPHIA, PA 19104-4238
(215) 662-6408
Mailing address
3600 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104
(215) 662-6408
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
MD475223
PA
Other
Enumeration date
08/18/2011
Last updated
03/19/2025
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