Organization
HATEM M HOSSINO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HATEM M HOSSINO M.D. (OWNER)
(304) 343-8181
Entity
Organization
Contact information
Practice address
415 MORRIS ST, SUITE 101, CHARLESTON, WV 25301-1842
(304) 343-8181
(304) 343-8247
Mailing address
415 MORRIS ST, SUITE 101, CHARLESTON, WV 25301-1842
(304) 343-8181
(304) 343-8247
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10690
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0127996000
—
WV
Enumeration date
07/20/2010
Last updated
07/20/2010
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