Individual
DR. HAZEL ANN NURSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-3150
(856) 968-8418
Mailing address
1 FEDERAL STREET, CAMDEN, NJ 08103
(856) 342-3150
(856) 968-8418
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
MD425064
PA
207R00000X
Internal Medicine Physician
Primary
25MA04668200
NJ
207R00000X
Internal Medicine Physician
MD425064
PA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
25MA04668200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1441400
—
NJ
Enumeration date
04/11/2007
Last updated
12/18/2018
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