| Hazleton General And Osteopathic | |
|
52 E Market Street Tresckow PA 18254 | |
| (570) 459-2070 | |
| (570) 459-2072 |
| Full Name | Hazleton General And Osteopathic |
|---|---|
| Speciality | Family Medicine |
| Location | 52 E Market Street, Tresckow, Pennsylvania |
| Authorized Official Name and Position | John J Haber (OWNER) |
| Authorized Official Contact | 5704592070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hazleton General And Osteopathic 52 E Market Street Po Box 240 Tresckow PA 18254 Ph: (570) 459-2070 | Hazleton General And Osteopathic 52 E Market Street Tresckow PA 18254 Ph: (570) 459-2070 |
| NPI Number | 1790889871 |
|---|---|
| Provider Enumeration Date | 09/11/2006 |
| Last Update Date | 02/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790889871 | NPI | - | NPPES |
| 0015831860013 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS009036L (Pennsylvania) | Primary |