Mazza, Dominic Louis

Mazza, Dominic Louis is an sole proprietor health care provider with primary practice located at 398 Kennedy Dr , Archbald PA 18403-1582. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychosomatic Medicine, which is considered as his primary health care specialty. Mazza, Dominic Louis can be contacted via phone (570) 876-1663.

Contact Information

Primary practice address
398 Kennedy Dr Archbald PA 18403-1582
Phone: (570) 876-1663
Fax: (570) 876-8223
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychosomatic Medicine 2084P0015X 04318E Pennsylvania

Profile Details

NPI number 1265650063
LBN Legal business name Mazza, Dominic Louis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2007
Last updated Feb 17th, 2016 - about 8 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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