# HAZLETON PATHOLOGY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336161355
- **Authorized official:** DR. JEFFREY A. NULL MD (PRESIDENT)
- **Authorized official phone:** (570) 454-6301

## Contact information

- **Practice address:** 148 N SHERMAN COURT, HAZLETON, PA 18201-5863
- **Practice address phone:** (570) 454-6301
- **Practice address fax:** (570) 454-6815
- **Mailing address:** PO BOX 1388, KINGSTON, PA 18704
- **Mailing address phone:** (570) 288-8881
- **Mailing address fax:** (570) 288-8065

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 08/06/2015