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General NPI Number Information
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NPI Number | 1033152707
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Entity Type | Individual
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Provider Name | MARIE ELENA HASSON MD
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Gender | Female
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 03/26/2024
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Provider Practice Location Address
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Address Line | ATLANTICARE REGIONAL MEDICAL CENTER JIMMIE LEEDS RD DEPARTMENT OF PSYCHIATRY MAINLAND DIVISION
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City | POMONA
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State | NJ
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Zip | 08240
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Country | US
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Telephone | 609-652-3551
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Fax | 609-404-7686
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Provider Business Mailing Address
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Address Line | 128 CREST HAVEN RD DEPARTMENT OF PSYCHIATRY MAINLAND DIVISION
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City | CAPE MAY COURT HOUSE
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State | NJ
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Zip | 08210-1651
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Country | US
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Telephone | 609-652-3551
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Fax | 609-404-7686
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MA67472
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD063696L
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License Number State | PA
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