Provider Demographics
NPI:1003112244
Name:HASSAN, SHEREF E (MD)
Entity Type:Individual
Prefix:DR
First Name:SHEREF
Middle Name:E
Last Name:HASSAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:435 WHITEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-1944
Mailing Address - Country:US
Mailing Address - Phone:201-753-8862
Mailing Address - Fax:732-696-8552
Practice Address - Street 1:630 E PALISADE AVE
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD CLIFFS
Practice Address - State:NJ
Practice Address - Zip Code:07632-1842
Practice Address - Country:US
Practice Address - Phone:201-753-8862
Practice Address - Fax:732-696-8552
Is Sole Proprietor?:No
Enumeration Date:2011-02-07
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY261137207XX0005X
NJ25MA09848600207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine