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Individual

DR. HAZEM HAWASLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-9446
Mailing address
PO BOX 64358, BALTIMORE, MD 21264-4358
(410) 955-9446

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
15299
NH
2085R0202X
Diagnostic Radiology Physician
4301090368
MI
2085R0202X
Diagnostic Radiology Physician
Primary
D0074477
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
055836200
MD
Enumeration date
08/28/2009
Last updated
02/28/2013
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