Mazur, Paul Stephen
Mazur, Paul Stephen is an sole proprietor health care provider with primary practice located at 2516 Highway 35 Unit 102, Manasquan NJ 08736-1926. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mazur, Paul Stephen can be contacted via phone (732) 223-8000.Contact Information
Primary practice address
2516 Highway 35 Unit 102
Manasquan NJ 08736-1926
Phone: (732) 223-8000
Fax: (732) 223-4010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OA04216 | New Jersey |
Profile Details
| NPI number | 1801865050 |
|---|---|
| LBN Legal business name | Mazur, Paul Stephen |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Jan 16th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801865050 | NPPES |
| New Jersey | MEDICAID | 4995201 | |
| New Jersey | Other | 222523338 | |
| New Jersey | Other | 691 | |
| New Jersey | Other | OA04216 |
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