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General NPI Number Information
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NPI Number | 1801230248
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Entity Type | Individual
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Provider Name | HASSAN ALBASSAM M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/27/2013
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 1777 TAMIAMI TRAIL SUITE 303, OFFICE 11
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City | PORT CHARLOTTE
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State | FL
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Zip | 33948-3394
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Country | US
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Telephone | 941-323-6528
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 416457
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City | BOSTON
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State | MA
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Zip | 02241-6457
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Country | US
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Telephone | 973-656-6280
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Fax | 973-290-7495
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 25MA09905400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME143622
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | C176277
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License Number State | CA
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