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Individual

DR. MOSTAFA S HASSAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13535 NEMOURS PKWY, NEMOURS CHILDRENS HOSPITAL, ORLANDO, FL 32827-7402
(407) 567-4760
(407) 567-3127
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPARTMENT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
213543
NY
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
ME119222
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
'013011700
FL
Enumeration date
02/10/2006
Last updated
03/13/2017
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