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Specialty details in registry · Hazle Township, PA

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At a glance

1201B N Church St Ste 403, Hazle Township, PA 18202-1455

NPPES record updated Sep 16, 2021. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

1201B N Church St Ste 403
Hazle Township, PA 18202-1455

Additional reported practice locations

426 Airport Rd Ste 138
Hazle Township, PA 182023361
Phone: 5704504050
Fax: 5704504051
Professional details: NPI, taxonomy & registry record
NPI1245797570
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251E00000X
Enumeration date
Feb 22, 2019
Record updated
Sep 16, 2021
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

251E00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1201B N Church St Ste 403
Hazle Township, PA 18202-1455
Phone
(570) 450-4050
Fax
(570) 450-4051
Mailing address
PO BOX 51266

LAFAYETTE, LA 705051266
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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