Individual
RAZA HASSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 KENYON AVE, WAKEFIELD, RI 02879-4216
(401) 782-8000
Mailing address
PO BOX 292, WAKEFIELD, RI 02880-0292
(401) 789-4971
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4546
RI
Other
Enumeration date
08/01/2006
Last updated
04/22/2008
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