Individual
BASSAM I HASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2125 ROUTE 88 E, BRICK, NJ 08724-3273
(732) 892-4548
(732) 892-0961
Mailing address
2290 W COUNTY LINE RD, JACKSON, NJ 08527-2267
(732) 942-4455
(732) 942-4459
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MA058494
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6404707
—
NJ
Enumeration date
06/27/2005
Last updated
09/16/2014
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