Hazley, Donald J

Hazley, Donald J is an sole proprietor health care provider with primary practice located at 3000 Essex Rd , Tinton Falls NJ 07753. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Hazley, Donald J can be contacted via phone (732) 643-2070.

Contact Information

Primary practice address
3000 Essex Rd Tinton Falls NJ 07753
Phone: (732) 643-2070
Fax: (732) 643-2015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA05501600 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA55016 New Jersey

Profile Details

NPI number 1588631295
LBN Legal business name Hazley, Donald J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2006
Last updated Mar 6th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588631295 NPPES
New Jersey MEDICAID 1882503

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