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Individual

DR. JEFFREY D. HASDAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-5793
(410) 328-0248
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-5793
(410) 328-0248

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
D33785
MD
207RP1001X
Pulmonary Disease Physician
D33785
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
136546700
DC
05
1720034580
DE
01
350177-03
BLUE CROSS/BLUE SHIELD
MD
05
404631500
MD
05
5851866
VA
Enumeration date
05/25/2006
Last updated
02/06/2008
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