Organization
JONATHAN E. HASSON, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN E HASSON MD, PA (PRESIDENT)
(910) 417-3396
Entity
Organization
Contact information
Practice address
921 S LONG DR, SUITE 208, ROCKINGHAM, NC 28379-4874
(910) 417-3396
Mailing address
PO BOX 5568, PINEHURST, NC 28374-5568
(910) 417-3396
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
34621
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1937504
CIGNA
NC
01
—
40404
BCBA
NC
05
—
8940404
—
NC
01
—
FH2000180
FIRST CAROLINA CARE
NC
Enumeration date
11/13/2006
Last updated
08/22/2020
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