Mazzarulli, Anthony A.

Mazzarulli, Anthony A. is an individual health care provider with primary practice located at 1601 Cummins Dr Ste D , Modesto CA 95358-6411. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Mazzarulli, Anthony A. can be contacted via phone (510) 900-3125.

Contact Information

Primary practice address
1601 Cummins Dr Ste D Modesto CA 95358-6411
Phone: (510) 900-3125
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X C147508 California
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 2010-02091 North Carolina
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD180163 Oregon
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X M6752 Texas
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2010-02091 North Carolina
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X C147508 California

Profile Details

NPI number 1801090006
LBN Legal business name Mazzarulli, Anthony A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2007
Last updated Jul 20th, 2022 - about 3 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 1801090006 NPPES
North Carolina MEDICAID 1801090006
North Carolina MEDICAID 194605502
North Carolina Other BP1-0026742
North Carolina MEDICAID 5916730
North Carolina MEDICAID NC1329

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