Individual
MARK HAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10555 62ND DR APT 4H, FLUSHING, NY 11375-1144
(718) 490-9695
Mailing address
10555 62ND DR APT 4H, FLUSHING, NY 11375-1144
(718) 490-9695
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
258519
NY
207L00000X
Anesthesiology Physician
25MA09088000
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2008
Last updated
11/13/2019
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