Individual
DR. JONATHAN E HASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., P.A.
Contact information
Practice address
455 LEWIS AVE, SUITE 203, MERIDEN, CT 06451-2121
(203) 634-1900
(203) 634-1895
Mailing address
455 LEWIS AVE, SUITE 203, MERIDEN, CT 06451-2121
(203) 634-1900
(203) 634-1895
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
045003
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001450030
—
CT
05
—
103186179
—
PA
01
—
111135300
MEDICAL ASSISTANCE
MD
01
—
PO1720958
RAILROAD
PA
Enumeration date
04/21/2006
Last updated
09/20/2022
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