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Pediatric Specialty Referral Form
Cardiology
Marina Beer, M.D., F.A.A.P.
Ellen Chan, M.D.
Nikola Tide, M.D., F.A.A.P.
Andrea Leavy-Butler, PNP
Endocrinology
Such Bhatia, M.D.
Alison Reed, M.D.
Alice
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Start by providing your personal information such as your full name, contact details, and address.
02
Mention your professional credentials, including your medical degree (MD) and any additional certifications or affiliations you have, such as being a Fellow of the American College of Gastroenterology (FACG).
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Include a brief overview of your professional experience, highlighting any relevant positions or research work you have undertaken.
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List your academic qualifications, including the institutions you attended and the dates of graduation.
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Provide details about your areas of expertise and specialization within the field of gastroenterology.
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What is eric hassall md facg?
Eric Hassall MD FACG is a medical doctor with specialty in gastroenterology.
Who is required to file eric hassall md facg?
Eric Hassall MD FACG is typically required to be filed by medical professionals in the field of gastroenterology.
How to fill out eric hassall md facg?
To fill out Eric Hassall MD FACG, one must provide detailed information about their medical practice and report any relevant financial information.
What is the purpose of eric hassall md facg?
The purpose of Eric Hassall MD FACG is to report the financial activities of a medical practice in the field of gastroenterology.
What information must be reported on eric hassall md facg?
Information such as revenue, expenses, patient volume, and any other financial activities related to the medical practice.
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