Provider Demographics
NPI:1982350039
Name:HAZLET MEDICAL SUPPLIES
Entity type:Organization
Organization Name:HAZLET MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SOKOLOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-847-3640
Mailing Address - Street 1:3253 ROUTE 35 STE 10
Mailing Address - Street 2:
Mailing Address - City:HAZLET
Mailing Address - State:NJ
Mailing Address - Zip Code:07730-1544
Mailing Address - Country:US
Mailing Address - Phone:732-847-3640
Mailing Address - Fax:732-847-3644
Practice Address - Street 1:3253 ROUTE 35 STE 10
Practice Address - Street 2:
Practice Address - City:HAZLET
Practice Address - State:NJ
Practice Address - Zip Code:07730-1544
Practice Address - Country:US
Practice Address - Phone:732-847-3640
Practice Address - Fax:732-847-3644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-28
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies