| Syeda I Hasan, M.d.p.c | |
|
28 Beechwood Rd Ste 4 Summit NJ 07901-2532 | |
| (908) 608-1414 | |
| (908) 608-9441 |
| Full Name | Syeda I Hasan, M.d.p.c |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 28 Beechwood Rd Ste 4, Summit, New Jersey |
| Authorized Official Name and Position | Syeda I Hasan (M.D.) |
| Authorized Official Contact | 9086081414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Syeda I Hasan, M.d.p.c 28 Beechwood Rd Ste 4 Summit NJ 07901-2532 Ph: (908) 608-1414 | Syeda I Hasan, M.d.p.c 28 Beechwood Rd Ste 4 Summit NJ 07901-2532 Ph: (908) 608-1414 |
| NPI Number | 1902057714 |
|---|---|
| Provider Enumeration Date | 10/10/2008 |
| Last Update Date | 05/16/2011 |
| Medicare PECOS PAC ID | 2062698152 |
|---|---|
| Medicare Enrollment ID | O20221028000967 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902057714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 25MA06389200 (New Jersey) | Primary |
| Provider Name | Syeda I Hasan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447370259 PECOS PAC ID: 7012079858 Enrollment ID: I20200417001930 |
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