Provider Demographics
NPI:1306864855
Name:HASSETT, JAMES M (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:M
Last Name:HASSETT
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Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 8000 DEPT 313
Mailing Address - Street 2:UNIVERSITY AT BUFFALO SURGEONS INC
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14267-0002
Mailing Address - Country:US
Mailing Address - Phone:716-888-4889
Mailing Address - Fax:716-849-5620
Practice Address - Street 1:100 HIGH ST
Practice Address - Street 2:DEPT OF SURGERY
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203-1126
Practice Address - Country:US
Practice Address - Phone:716-859-3556
Practice Address - Fax:716-859-4580
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2014-03-27
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Provider Licenses
StateLicense IDTaxonomies
NY112944208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00620957Medicaid
DD2313Medicare ID - Type Unspecified
NY00620957Medicaid