Organization
ROBERT HAZEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT HAZEN (OWNER)
(302) 998-0551
Entity
Organization
Contact information
Practice address
4750 LIMESTONE RD, WILMINGTON, DE 19808-1928
(302) 998-0551
Mailing address
4750 LIMESTONE RD, WILMINGTON, DE 19808-1928
(302) 998-0551
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1991073141
DE
Other
Enumeration date
01/25/2007
Last updated
02/15/2008
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