Healthcare Provider Details

I. General information

NPI: 1477582559
Provider Name (Legal Business Name): BJH MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2006
Last Update Date: 09/06/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 SENTARA CIR SUITE 300
WILLIAMSBURG VA
23188-5716
US

IV. Provider business mailing address

PO BOX 5953
WILLIAMSBURG VA
23188-5215
US

V. Phone/Fax

Practice location:
  • Phone: 301-689-2377
  • Fax:
Mailing address:
  • Phone: 301-689-2377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0602X
TaxonomyOtolaryngic Allergy Physician
License Number0101236053
License Number StateVA

VIII. Authorized Official

Name: DR. BRIAN JOSEPH HASSLINGER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 301-689-2377