Hasan, Omar S

Hasan, Omar S is an individual health care provider with primary practice located at 216 Route 17 North Ste 201 , Rochelle Park NJ 07662-3333. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Hasan, Omar S can be contacted via phone (201) 845-3535.

Contact Information

Primary practice address
216 Route 17 North Ste 201 Rochelle Park NJ 07662-3333
Phone: (201) 845-3535
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA08616500 New Jersey

Profile Details

NPI number 1669602975
LBN Legal business name Hasan, Omar S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2009
Last updated Nov 27th, 2018 - about 6 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 1669602975 NPPES
New Jersey MEDICAID 0217743
New Jersey Other P00808725

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