Healthcare Provider Details

I. General information

NPI: 1699763474
Provider Name (Legal Business Name): DAWN M. HASSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2005
Last Update Date: 01/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2494 BERNVILLE RD STE G02
READING PA
19605
US

IV. Provider business mailing address

2500 BERNVILLE RD
READING PA
19605-9453
US

V. Phone/Fax

Practice location:
  • Phone: 610-378-2898
  • Fax: 610-208-8881
Mailing address:
  • Phone: 610-378-2898
  • Fax: 610-208-8881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD086914L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: