# HAZLET MEDICAL SERVICES LLC

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

## Provider details

- **NPI number:** 1770997140
- **Authorized official:** MRS. RANYA ELFAWWAL (OFFICE MANAGER)
- **Authorized official phone:** (732) 217-3208

## Contact information

- **Practice address:** 1 BETHANY RD, BLDG \#2, STE \#25, HAZLET, NJ 07730-1660
- **Practice address phone:** (732) 217-3208
- **Practice address fax:** (732) 217-3107
- **Mailing address:** 1 BETHANY RD, BLDG \#2, STE \#25, HAZLET, NJ 07730-1660
- **Mailing address phone:** (732) 217-3208
- **Mailing address fax:** (732) 217-3107

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/13/2014
- **Last updated:** 12/26/2023