Mazzaferro, Richard

Mazzaferro, Richard is an individual health care provider with primary practice located at 300 Congress St Suite 304, Quincy MA 02169-0907. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Mazzaferro, Richard can be contacted via phone (617) 773-6300.

Contact Information

Primary practice address
300 Congress St Suite 304 Quincy MA 02169-0907
Phone: (617) 773-6300
Fax: (617) 773-6301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 204521 Massachusetts
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 204521 Massachusetts

Profile Details

NPI number 1609805951
LBN Legal business name Mazzaferro, Richard
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Mar 29th, 2012 - about 13 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 1609805951 NPPES
Massachusetts MEDICAID 2126818
Massachusetts Other 495761
Massachusetts Other J41186
Massachusetts Other AA63775

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