Mazer, Mark A

Mazer, Mark A is an individual health care provider with primary practice located at 521 Moye Blvd Fl 1 Ecu Physicians Pulmonary/Critical Care, Greenville NC 27834-2849. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Mazer, Mark A can be contacted via phone (252) 744-1600.

Contact Information

Primary practice address
521 Moye Blvd Fl 1 Ecu Physicians Pulmonary/Critical Care Greenville NC 27834-2849
Fax: (252) 744-1115
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD043301E Pennsylvania
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 200600992 North Carolina

Profile Details

NPI number 1720083793
LBN Legal business name Mazer, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Nov 30th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720083793 NPPES
North Carolina Other P00378420 RAILROAD MEDICARE
North Carolina MEDICAID 5905461 RAILROAD MEDICARE
North Carolina Other 1420C RAILROAD MEDICARE

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