Hasan, Bassam I

Hasan, Bassam I is an individual health care provider with primary practice located at 2125 Route 88 E , Brick NJ 08724-3273. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Hasan, Bassam I can be contacted via phone (732) 892-4548.

Contact Information

Primary practice address
2125 Route 88 E Brick NJ 08724-3273
Fax: (732) 892-0961
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MA058494 New Jersey

Profile Details

NPI number 1346246097
LBN Legal business name Hasan, Bassam I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Sep 16th, 2014 - about 10 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 1346246097 NPPES
New Jersey MEDICAID 6404707

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