Individual
MR. HASAN ABDUL HOOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CST, CSA
Contact information
Practice address
3622 1/2 SUSSEX RD, GWYNN OAK, MD 21207-3817
(646) 489-0692
Mailing address
3622 1/2 SUSSEX RD, GWYNN OAK, MD 21207-3817
(646) 489-0692
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
3431
NC
246ZS0410X
Surgical Technologist
113968
CO
Other
Enumeration date
07/05/2011
Last updated
07/05/2011
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