Doctor Name: | DR. RHONDA LYNN HAZELL |
NPI Number: | 1073825535 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.P.M |
License Number: | 00MD2513 |
Business Practice Address: | 900 Pear St Cinnaminson, NJ - 080771922 |
Business Phone Number: | 8569122165 |
Business Fax Number: | 2159511772 |
Mailing Address: | 900 Pear St, CINNAMINSON |
State: | NJ |
Postal Code: | 080771922 |
Phone Number: | 8569122165 |
Fax Number: | 2159511772 |
NPI Enumeration Date: | 07/12/2010 |
NPI Last Update Date: | 07/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213EP1101X |
License Number: | 00MD2513 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Primary Podiatric Medicine |
Taxonomy Definition: |