Organization
HAZLETON SURGERY CENTER, LLC
Active
Other names
Hazleton Surgery Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN BAILEY (OFFICER, MEDICARE AUTHORIZED OFFICI)
(203) 609-1168
Entity
Organization
Contact information
Practice address
50 MOISEY DRIVE, SUITE 100, HAZLETON, PA 18202-9297
(570) 501-6500
Mailing address
50 MOISEY DRIVE, SUITE 100, HAZLETON, PA 18202-9297
(570) 501-6500
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
08/20/2006
Last updated
10/09/2024
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