Organization
HAZLETON HEALTH & WELLNESS CENTER
Active
Organization
HAZLETON HEALTH & WELLNESS CENTER
Active
Parent organization
NORTHEASTERN PENNSYLVANIA HEALTHCARE CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHEASTERN PENNSYLVANIA HEALTHCARE CORPORATION
Authorized official
MR. WILLIAM C BAUER (CFO)
(570) 501-6293
Entity
Organization
Contact information
Practice address
50 MOISEY DR, HAZLETON, PA 18202-9297
(570) 501-4000
Mailing address
700 E BROAD ST, HAZLETON, PA 18201-6835
(570) 501-4000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007383950005
—
PA
Enumeration date
01/31/2007
Last updated
02/22/2008
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