Mazzoccoli, Vito
Mazzoccoli, Vito is an sole proprietor health care provider with primary practice located at 73 Bloomfield Ave 1St Floor, Caldwell NJ 07006-5311. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mazzoccoli, Vito can be contacted via phone (973) 403-3200.Contact Information
Primary practice address
73 Bloomfield Ave 1St Floor
Caldwell NJ 07006-5311
Phone: (973) 403-3200
Fax: (973) 403-3250
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MA072343 | New Jersey |
Profile Details
| NPI number | 1518936053 |
|---|---|
| LBN Legal business name | Mazzoccoli, Vito |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Apr 24th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518936053 | NPPES |
| New Jersey | MEDICAID | 0029483 |
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