Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Max Devon Hazeltine, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1003347568

Max Devon Hazeltine, MD is a Surgical Oncology in Worcester, Massachusetts. Qualified in 2017, 9 years ago. Registered with an NPI since 2017.

Years since qualifying
9
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (508) 334-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1003347568
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2017
Last updated in NPPESMarch 24, 2017
Mailing address55 Lake Ave N, Worcester, MA 01655-0002

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySURGICAL ONCOLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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