Mazza, Samuel J.
Mazza, Samuel J. is an sole proprietor health care provider with primary practice located at 6 Depot Street , Southwick MA 01077. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mazza, Samuel J. can be contacted via phone (413) 569-2120.Contact Information
Primary practice address
6 Depot Street
Southwick MA 01077
Phone: (413) 569-2120
Fax: (413) 569-6493
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 33086 | Massachusetts |
Profile Details
| NPI number | 1578559779 |
|---|---|
| LBN Legal business name | Mazza, Samuel J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | Sep 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578559779 | NPPES |
| Massachusetts | MEDICAID | 3102271 |
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