| Hazlet Medical Services Llc | |
|
1 Bethany Rd Bldg #2, Ste #25 Hazlet NJ 07730-1660 | |
| (732) 217-3208 | |
| (732) 217-3107 |
| Full Name | Hazlet Medical Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1 Bethany Rd, Hazlet, New Jersey |
| Authorized Official Name and Position | Ranya Elfawwal (OFFICE MANAGER) |
| Authorized Official Contact | 7322173208 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hazlet Medical Services Llc 1 Bethany Rd Bldg #2, Ste #25 Hazlet NJ 07730-1660 Ph: (732) 217-3208 | Hazlet Medical Services Llc 1 Bethany Rd Bldg #2, Ste #25 Hazlet NJ 07730-1660 Ph: (732) 217-3208 |
| NPI Number | 1770997140 |
|---|---|
| Provider Enumeration Date | 06/13/2014 |
| Last Update Date | 12/26/2023 |
| Medicare PECOS PAC ID | 8527383025 |
|---|---|
| Medicare Enrollment ID | O20150204000266 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770997140 | NPI | - | NPPES |
| 0444740 | Medicaid | NJ | |
| 8688206 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Elsayed A Sahloul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467452565 PECOS PAC ID: 2567452394 Enrollment ID: I20040514000135 |
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