Individual
DR. DONALD J HAZLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 ESSEX RD, TINTON FALLS, NJ 07753
(732) 643-2070
(732) 643-2015
Mailing address
5525 RESEARCH PARK DR FL 4, BALTIMORE, MD 21228-4873
(732) 643-2070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA05501600
NJ
207R00000X
Internal Medicine Physician
Primary
MA55016
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1882503
—
NJ
Enumeration date
03/01/2006
Last updated
03/06/2019
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