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Individual
DR. CARL MAZZARA
Active
Individual
DR. CARL MAZZARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MA053508
NJ
207Y00000X
Otolaryngology Physician
25MA05350800
NJ
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
25MA05350800
NJ
Other
Enumeration date
06/13/2005
Last updated
04/12/2019
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