Individual
MR. AHMED M HASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
204 STATE RD, LEHIGHTON, PA 18235-2827
(610) 379-0443
(610) 379-4725
Mailing address
204 STATE RD, LEHIGHTON, PA 18235-2827
(610) 379-0443
(610) 379-4725
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD055983L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015523300002
—
PA
Enumeration date
09/13/2005
Last updated
04/26/2023
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