Individual
DR. HAZEM F ELKASSAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-3535
(814) 375-3563
Mailing address
PO BOX 447, 100 HOSPITAL AVE, DU BOIS, PA 15801-0447
(814) 375-3535
(814) 375-3563
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD049607L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014691360006
—
PA
01
—
830007548
RAILROAD MEDICARE
PA
Enumeration date
09/25/2006
Last updated
05/17/2017
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