Mazzocca, Augustus

Mazzocca, Augustus is an individual health care provider with primary practice located at 263 Farmington Ave Sports Medicine, Farmington CT 06030-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Mazzocca, Augustus can be contacted via phone (860) 679-6600.

Contact Information

Primary practice address
263 Farmington Ave Sports Medicine Farmington CT 06030-0001
Phone: (860) 679-6600
Fax: (860) 679-6604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 037674 Connecticut
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 037674 Connecticut

Profile Details

NPI number 1902802903
LBN Legal business name Mazzocca, Augustus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Apr 8th, 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 1902802903 NPPES
Connecticut MEDICAID 1376749

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