Organization
MARIO HASAJ, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO J. HASAJ M.D. (PROPRIETOR)
(802) 221-0235
Entity
Organization
Contact information
Practice address
2643 GRAFTON ROAD, MARIO HASAJ, LLC, TOWNSHEND, VT 05353
(802) 221-0235
Mailing address
2643 GRAFTON ROAD, MARIO HASAJ, LLC, TOWNSHEND, VT 05353
(802) 221-0235
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
042-0011143
VT
Other
Enumeration date
03/02/2012
Last updated
04/02/2012
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