Organization
HAZLETON AMBULATORY SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS J BARNA MD (CEO)
(570) 288-1974
Entity
Organization
Contact information
Practice address
1062 N CHURCH ST, HAZLETON, PA 18202-1444
(570) 459-5102
(570) 459-9923
Mailing address
1062 N CHURCH ST, HAZLETON, PA 18202-1444
(570) 459-5102
(570) 459-9923
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017266720001
—
PA
01
—
490003971
RRMC - PALMETTO GBA
PA
Enumeration date
07/26/2005
Last updated
06/17/2008
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