Individual
CH HASSAN ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
905 UNION ST STE 9, BANGOR, ME 04401-3039
(301) 326-8421
Mailing address
34 VIRGINIA LN, BANGOR, ME 04401-5687
(301) 326-8421
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD26861
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
DC
Other
Enumeration date
05/29/2019
Last updated
05/11/2023
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