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Individual

MARK J HASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
990 JOHNS HOPKINS DR, GREENVILLE, NC 27834-7224
(252) 565-8951
Mailing address
990 JOHNS HOPKINS DR, GREENVILLE, NC 27834-7224
(252) 565-8951

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101260818
VA
2085R0202X
Diagnostic Radiology Physician
Primary
201501777
NC
2085R0202X
Diagnostic Radiology Physician
4301076959
MI
2085R0202X
Diagnostic Radiology Physician
67766
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1588603393
NC
Enumeration date
06/06/2006
Last updated
03/09/2023
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