Individual
HOUSSAM EL HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 EXECUTIVE DR STE 103, MONMOUTH JUNCTION, NJ 08852-2446
(908) 202-0323
Mailing address
1 EXECUTIVE DR STE 103, MONMOUTH JUNCTION, NJ 08852-2446
(908) 202-0323
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22DI02888500
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2018
Last updated
06/25/2024
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