Individual
MR. GREGORY ALEXANDER HAZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2000
Mailing address
331 NEWMAN SPRINGS RD STE 220, RED BANK, NJ 07701-5792
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ15008500
NJ
363LF0000X
Family Nurse Practitioner
F351446
NY
Other
Enumeration date
12/08/2023
Last updated
07/24/2024
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