Individual
FIDA HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-3562
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
230249
MA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
230249
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110078514B
—
MA
Enumeration date
08/23/2006
Last updated
04/23/2026
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