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Individual

WALID MOHAMED HASSAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
601 PARK ST, HONESDALE, PA 18431-1445
(570) 253-8601
(570) 253-8348
Mailing address
2204 WILBORN AVE, SOUTH BOSTON, VA 24592-1645
(434) 517-3250
(434) 514-3934

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME 76388
FL
207RC0000X
Cardiovascular Disease Physician
Primary
N3074
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
103775
MISSOURI LICENSE NUMBER
MO
01
N3074
TEXAS LICENSE NUMBER
TX
Enumeration date
03/18/2010
Last updated
10/16/2025
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