Healthcare Provider Details
I. General information
NPI: 1457380602
Provider Name (Legal Business Name): BRIAN JOSEPH HASSLINGER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/01/2006
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14302 BARTON BLVD SW STE 202
CUMBERLAND MD
21502-5852
US
IV. Provider business mailing address
14302 BARTON BLVD SW STE 202
CUMBERLAND MD
21502-5852
US
V. Phone/Fax
- Phone: 301-723-4851
- Fax:
- Phone: 240-410-0765
- Fax: 240-559-0229
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207YX0602X |
| Taxonomy | Otolaryngic Allergy Physician |
| License Number | 0101236053 |
| License Number State | VA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207YX0602X |
| Taxonomy | Otolaryngic Allergy Physician |
| License Number | D0039156 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: