Provider Demographics
NPI:1396784385
Name:HASSAN, EDWARD F (MD)
Entity type:Individual
Prefix:
First Name:EDWARD
Middle Name:F
Last Name:HASSAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 COMPASS WAY STE 200
Mailing Address - Street 2:
Mailing Address - City:EAST BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02333-1464
Mailing Address - Country:US
Mailing Address - Phone:781-878-1700
Mailing Address - Fax:508-894-0412
Practice Address - Street 1:1 DONALD'S WAY
Practice Address - Street 2:SUITE 200
Practice Address - City:EAST BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02333-1465
Practice Address - Country:US
Practice Address - Phone:781-878-1700
Practice Address - Fax:508-894-0412
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA54994207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MACX2998OtherMEDICARE PTAN
MAJ09489OtherBC/BS
MA54994OtherTAHP
MA60761OtherHPHC
MAJ09489Medicare PIN
MACX2998OtherMEDICARE PTAN