Organization
ROBERT HAZEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT HAZEN (OWNER)
(302) 428-9900
Entity
Organization
Contact information
Practice address
1207 N SCOTT ST, WILMINGTON, DE 19806-4059
(302) 428-9900
Mailing address
1207 N SCOTT ST, WILMINGTON, DE 19806-4059
(302) 428-9900
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
2000103840
DE
Other
Enumeration date
01/25/2007
Last updated
02/15/2008
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