Hazleton Professional Services

NPI #1952464638 in Hazleton, Pennsylvania

Provider Information

NPI Number: 1952464638
Entity Type: Organization
Organization Name: Hazleton Professional Services
Subpart: Yes (part of a larger organization)
Parent Organization: GREATER HAZLETON HEALTH ALLIANCE
Primary Specialty: Internal Medicine
Enumeration Date: Dec 18, 2006
Last Updated: May 11, 2022

Practice Location

Address: 700 EAST BROAD STREET
City: Hazleton
State: Pennsylvania
ZIP Code: 18201-6835
Phone: (570) 501-4584

Authorized Official

Name: JAMES DEMOPOULOS
Title: SR VP & COO
Phone: (484) 884-4500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X
Family Medicine	207Q00000X
Pediatrics	208000000X
Physical Medicine & Rehabilitation	208100000X
Surgery	208600000X
Podiatrist	213E00000X
Nurse Practitioner	363L00000X
Internal Medicine	207R00000X	Primary

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