Mazzara, Carl

Mazzara, Carl is an individual health care provider with primary practice located at 485 Route 1 South Suite 350, Iselin NJ 08830. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck. Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck is his primary health care specialty. Mazzara, Carl can be contacted via phone (732) 549-3934.

Contact Information

Primary practice address
485 Route 1 South Suite 350 Iselin NJ 08830
Phone: (732) 549-3934
Fax: (732) 549-7250
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA053508 New Jersey
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 25MA05350800 New Jersey
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X 25MA05350800 New Jersey

Profile Details

NPI number 1174527543
LBN Legal business name Mazzara, Carl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Apr 12th, 2019 - about 6 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 1174527543 NPPES
Other 223561248002 QUALCARE
Other 0388738002 QUALCARE
Other 0954673 QUALCARE
Other 0699933 QUALCARE
Other 1275684 QUALCARE
Other 223561248 QUALCARE
Other 598151 QUALCARE
Other LS356 QUALCARE
Other OK4425 QUALCARE

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