Mazer, Theodore M.

Mazer, Theodore M. is an sole proprietor health care provider with primary practice located at 6699 Alvarado Rd Ste 2209, San Diego CA 92120-5240. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Mazer, Theodore M. can be contacted via phone (619) 583-8990.

Contact Information

Primary practice address
6699 Alvarado Rd Ste 2209 San Diego CA 92120-5240
Phone: (619) 583-8990
Fax: (619) 265-1114
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X A43828 California

Profile Details

NPI number 1598768327
LBN Legal business name Mazer, Theodore M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2005
Last updated Feb 19th, 2020 - about 4 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 1598768327 NPPES
California MEDICAID 00A438280
California Other A43828

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