Provider Demographics
NPI:1902015597
Name:HAZEY, MATTHEW ALLYN (MD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:ALLYN
Last Name:HAZEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:100 SCENERY DR UPPR LEVEL
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16801-7997
Mailing Address - Country:US
Mailing Address - Phone:814-237-6600
Mailing Address - Fax:814-237-5383
Practice Address - Street 1:100 SCENERY DR UPPR LEVEL
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-7997
Practice Address - Country:US
Practice Address - Phone:814-237-6600
Practice Address - Fax:814-237-5383
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD445202207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology