Organization
HAZLETON MEDICAL PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PEDRO GUZMAN MD (DIRECTOR)
(570) 497-4419
Entity
Organization
Contact information
Practice address
141 N CEDAR ST, HAZLETON, PA 18201-5580
(570) 497-4419
(570) 497-4420
Mailing address
141 N CEDAR ST, HAZLETON, PA 18201-5580
(570) 497-4419
(570) 497-4420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
MD441284
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174858104
MY NPI
—
Enumeration date
05/12/2014
Last updated
02/14/2020
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