Allison Rose Bassam Harb, PA-C
Physician Assistant, Medical in Manchester, NH. Individual provider (NPI-1).
NPI number1710521950
StatusActive
Last updated in NPPESApr 28, 2022
Details
- NPI
- 1710521950
- Entity type
- Individual (NPI-1)
- Name
- Ms. Allison Rose Bassam Harb
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 31, 2019
- Certification date
- Apr 28, 2022
- Last updated
- Apr 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 1846 | NH | Yes |
| 363AM0700X | Physician Assistant, Medical | PA1998 | ME |
Practice location
1 Elliot WayManchester, NH 03103-3502
Phone 603-663-2710
Mailing address
1 Elliot WayManchester, NH 03103-3502
Phone 603-663-2710 · Fax 603-663-2273
Other practice locations
931 Union St
Bangor, ME 04401-3011
Bangor, ME 04401-3011
Phone 207-973-5089
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