Mazza, Emilio

Mazza, Emilio is an individual health care provider with primary practice located at 141 Route 70 E Ste B , Marlton NJ 08053-1855. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Mazza, Emilio can be contacted via phone (856) 596-9057.

Contact Information

Primary practice address
141 Route 70 E Ste B Marlton NJ 08053-1855
Phone: (856) 596-9057
Fax: (856) 596-0837
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 25MA07860700 New Jersey
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 25MA07860700 New Jersey

Profile Details

NPI number 1184663239
LBN Legal business name Mazza, Emilio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Apr 15th, 2022 - about 2 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 1184663239 NPPES
New Jersey MEDICAID 0233421

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