Individual
MS. AISHA HASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
301 SAINT PAUL PL, BALTIMORE, MD 21202-2102
(410) 332-9407
Mailing address
743 MATCH POINT DR, ARNOLD, MD 21012-1137
(443) 852-6732
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C04886
MD
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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