Organization
HAZEL HEALTH SERVICES NORTHEAST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIJIT REIS MD (PRESIDENT)
(415) 424-4266
Entity
Organization
Contact information
Practice address
1400 HOOPER AVE STE 2, TOMS RIVER, NJ 08753-2981
(415) 424-4266
(415) 520-6633
Mailing address
8300 ESTERS BLVD STE 900, IRVING, TX 75063-2233
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/15/2024
Last updated
06/02/2025
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