Provider Demographics
NPI:1710249263
Name:HASSIDIM, HILIT (MD)
Entity Type:Individual
Prefix:
First Name:HILIT
Middle Name:
Last Name:HASSIDIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 E OLNEY AVE
Mailing Address - Street 2:STE 400
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19120-2470
Mailing Address - Country:US
Mailing Address - Phone:215-456-4694
Mailing Address - Fax:215-456-5926
Practice Address - Street 1:1650 HUNTINGDON PIKE
Practice Address - Street 2:SUITE 301
Practice Address - City:MEADOWBROOK
Practice Address - State:PA
Practice Address - Zip Code:19046-8004
Practice Address - Country:US
Practice Address - Phone:215-947-8170
Practice Address - Fax:215-947-8572
Is Sole Proprietor?:No
Enumeration Date:2012-06-11
Last Update Date:2018-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD457178207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine