| NPI | 1851406821 |
|---|---|
| Former Legal Business Name | HAZLETON SURGERY CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | JONATHAN BAILEY Officer, Medicare Authorized Offici 203-609-1168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2024-10-09 |