Individual
RUTH A HAZEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
628 SALEM ST, LYNNFIELD, MA 01940-2340
(781) 599-1998
(781) 599-1221
Mailing address
628 SALEM ST, LYNNFIELD, MA 01940-2340
(781) 599-1998
(781) 599-1221
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA46056
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200492
HARVARD/PILG
—
05
—
3011933
—
MA
01
—
706807
TUFTS
—
01
—
B10083501
CIGNA
—
01
—
J05790
BCBS
—
Enumeration date
10/11/2005
Last updated
07/08/2007
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