Mazo, Mikhail

Mazo, Mikhail is an individual health care provider with primary practice located at 300 South St , Newton MA 02467-3658. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mazo, Mikhail can be contacted via phone (617) 469-0300.

Contact Information

Primary practice address
300 South St Newton MA 02467-3658
Phone: (617) 469-0300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 208421 Massachusetts

Profile Details

NPI number 1740231216
LBN Legal business name Mazo, Mikhail
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers