Individual
BASHIR HASSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
ONE MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-5104
Mailing address
ONE MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-5104
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
363LF0000X
Family Nurse Practitioner
Primary
082879-23
NH
Other
Enumeration date
11/08/2013
Last updated
09/11/2020
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