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Organization
HAZLETON SURGERY CENTER, LLC
Active
Organization
HAZLETON SURGERY CENTER, LLC
Active
Other names
Hazleton Surgery Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN BAILEY (OFFICER, MEDICARE AUTHORIZED OFFICI)
(203) 609-1168
Entity
Organization
Contact information
Practice address
50 MOISEY DRIVE, SUITE 100, HAZLETON, PA 18202-9297
(570) 501-6500
Mailing address
50 MOISEY DRIVE, SUITE 100, HAZLETON, PA 18202-9297
(570) 501-6500
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
Other
Enumeration date
08/20/2006
Last updated
10/09/2024
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