Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 25MA09848600 | NJ |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 261137 | NY |
NPI | 1003112244 |
---|---|
Provider Name | Dr. Sheref E Hassan |
First Address | Englewood, NJ 07631-1944 |
Second Address | Englewood Cliffs, NJ 07632-1842 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2011 |
Last Update Date | 06/04/2017 |