Provider Demographics
NPI:1750707311
Name:HAJ-HASSAN, TANYA (MB, BS)
Entity type:Individual
Prefix:DR
First Name:TANYA
Middle Name:
Last Name:HAJ-HASSAN
Suffix:
Gender:F
Credentials:MB, BS
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Mailing Address - Street 1:100 PENN SQUARE EAST 9TH FL NORTH TOWER
Mailing Address - Street 2:CHCA GENERAL PEDIATRICS
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107
Mailing Address - Country:US
Mailing Address - Phone:267-425-9232
Mailing Address - Fax:267-425-9299
Practice Address - Street 1:3401 CIVIC CENTER BLVD
Practice Address - Street 2:CHCA GENERAL PEDIATRICS
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4319
Practice Address - Country:US
Practice Address - Phone:215-590-2437
Practice Address - Fax:215-590-2768
Is Sole Proprietor?:No
Enumeration Date:2014-03-06
Last Update Date:2017-02-02
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Provider Licenses
StateLicense IDTaxonomies
PAMT205414208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics