Mazzocchi, Dominic F

Mazzocchi, Dominic F is an individual health care provider with primary practice located at 1401 Beaver Dam Rd , Point Pleasant Beach NJ 08742-4970. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mazzocchi, Dominic F can be contacted via phone (732) 295-0808.

Contact Information

Primary practice address
1401 Beaver Dam Rd Point Pleasant Beach NJ 08742-4970
Phone: (732) 295-0808
Fax: (732) 295-3845
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA04770300 New Jersey

Profile Details

NPI number 1679546501
LBN Legal business name Mazzocchi, Dominic F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Jul 8th, 2007 - about 17 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 1679546501 NPPES
New Jersey Other 0065873 GHI
New Jersey MEDICAID 0942006 GHI
New Jersey Other 223360408-006 GHI
New Jersey Other P414149 GHI
New Jersey Other 110172484 GHI
New Jersey Other 1K1007 GHI

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