Individual
JOSEPH PHILLIP HAZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3248 WESTBOURNE DR, CINCINNATI, OH 45248-5140
(513) 674-1400
(513) 206-1902
Mailing address
3248 WESTBOURNE DR, CINCINNATI, OH 45248-5140
(513) 263-1532
(513) 263-8622
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35062242
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0848471
—
OH
Enumeration date
04/12/2006
Last updated
08/06/2021
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