Healthcare Provider Details

I. General information

NPI: 1306864855
Provider Name (Legal Business Name): JAMES M HASSETT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 03/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HIGH ST DEPT OF SURGERY
BUFFALO NY
14203-1126
US

IV. Provider business mailing address

PO BOX 8000 DEPT 313 UNIVERSITY AT BUFFALO SURGEONS INC
BUFFALO NY
14267-0002
US

V. Phone/Fax

Practice location:
  • Phone: 716-859-3556
  • Fax: 716-859-4580
Mailing address:
  • Phone: 716-888-4889
  • Fax: 716-849-5620

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number112944
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: