Organization
HASSAN MEDICAL PAIN RELIEF AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHADY HASSAN MD (OWNER)
(917) 244-8332
Entity
Organization
Contact information
Practice address
200 PERRINE RD STE 209, OLD BRIDGE, NJ 08857-2836
(917) 244-8332
(732) 587-5486
Mailing address
316 TENNENT RD STE 202A, MORGANVILLE, NJ 07751-1088
(917) 244-8332
(732) 587-5486
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0598381
—
NJ
Enumeration date
07/19/2019
Last updated
01/06/2021
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