Provider Demographics
NPI:1346356532
Name:HASSAN, LINDA ROSARINA (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:ROSARINA
Last Name:HASSAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 THOMAS DR
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:RI
Mailing Address - Zip Code:02864-2908
Mailing Address - Country:US
Mailing Address - Phone:401-333-9087
Mailing Address - Fax:401-334-0448
Practice Address - Street 1:73 BEECHWOOD AVE
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-5409
Practice Address - Country:US
Practice Address - Phone:401-724-4040
Practice Address - Fax:401-722-9575
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RI6245207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIRI6245OtherRI MEDICAL LICENSE #
RID87115Medicare UPIN
RI007006914Medicare ID - Type Unspecified