Hanna, Bassem G

Hanna, Bassem G is an individual health care provider with primary practice located at 242 Woodland St , West Boylston MA 01583-1670. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hanna, Bassem G can be contacted via phone (508) 835-6221.

Contact Information

Primary practice address
242 Woodland St West Boylston MA 01583-1670
Phone: (508) 835-6221
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA08783900 New Jersey
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 237918 Massachusetts

Profile Details

NPI number 1437165586
LBN Legal business name Hanna, Bassem G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437165586 NPPES
New Jersey MEDICAID 0247294

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