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Individual

DR. SAMIRA M. HASAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
24 MILES CENTER WAY, DAMARISCOTTA, ME 04543-4047
(207) 563-4252
(207) 563-4275
Mailing address
24 MILES CENTER WAY, DAMARISCOTTA, ME 04543-4047
(207) 563-4252
(207) 563-4275

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2012007469
MO
208600000X
Surgery Physician
Primary
DO2516
ME
208600000X
Surgery Physician
OT011661
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
431560263
TRICARE
MO
01
P01063532
RR MCR
MO
Enumeration date
06/05/2010
Last updated
10/09/2018
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