| Nezih Z. Hasanoglu, D.o. | |
|
13700 W National Ave Suite 116 New Berlin WI 53151-9521 | |
| (262) 782-5662 | |
| (262) 782-5296 |
| Full Name | Nezih Z. Hasanoglu, D.o. |
|---|---|
| Speciality | Family Medicine |
| Location | 13700 W National Ave, New Berlin, Wisconsin |
| Authorized Official Name and Position | Nezih Z. Hasanoglu (PRESIDENT) |
| Authorized Official Contact | 2627825662 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nezih Z. Hasanoglu, D.o. 13700 W National Ave Suite 116 New Berlin WI 53151-9521 Ph: (262) 782-5662 | Nezih Z. Hasanoglu, D.o. 13700 W National Ave Suite 116 New Berlin WI 53151-9521 Ph: (262) 782-5662 |
| NPI Number | 1174653513 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2264539311 |
|---|---|
| Medicare Enrollment ID | O20070524000125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174653513 | NPI | - | NPPES |
| 30019700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25286 (Wisconsin) | Primary |
| Provider Name | Nezih Z Hasanoglu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730166901 PECOS PAC ID: 7719084862 Enrollment ID: I20070524000120 |
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