Mazur, Kimberly L

Mazur, Kimberly L is an individual health care provider with primary practice located at 1401 Atlantic Ave Suite 2800, Atlantic City NJ 08401-7022. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Mazur, Kimberly L can be contacted via phone (609) 441-8036.

Contact Information

Primary practice address
1401 Atlantic Ave Suite 2800 Atlantic City NJ 08401-7022
Phone: (609) 441-8036
Fax: (609) 572-6021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA05995100 New Jersey

Profile Details

NPI number 1649200106
LBN Legal business name Mazur, Kimberly L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Sep 11th, 2014 - about 10 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 1649200106 NPPES
New Jersey MEDICAID 5614104

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