Individual
BASSEM G HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
242 WOODLAND ST, WEST BOYLSTON, MA 01583-1670
(508) 835-6221
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
237918
MA
207Q00000X
Family Medicine Physician
25MA08783900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0247294
—
NJ
Enumeration date
07/31/2006
Last updated
03/07/2023
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