Individual
DR. JOSHUA PAUL HAZELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
25 MONUMENT RD STE 100, YORK, PA 17403-5050
(717) 812-7500
(717) 848-2074
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
OS014799
PA
2086S0102X
Surgical Critical Care Physician
Primary
OS014799
PA
2086S0127X
Trauma Surgery Physician
25MB09060600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12764131
CAQH
—
01
—
OS014799
STATE LICENSE
PA
Enumeration date
06/15/2010
Last updated
07/11/2025
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