Individual
FAIZA HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
169 N PENNSYLVANIA AVE, WILKES BARRE, PA 18701-3603
(570) 491-0126
Mailing address
2400 N LAKEVIEW DR, RANSOM TOWNSHIP, PA 18411-8641
(989) 372-5707
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD489861
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2022
Last updated
05/20/2025
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