# DR. DOMINIC LOUIS MAZZA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1265650063
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0015X | Psychosomatic Medicine Physician | 04318E | PA | Yes |

## Other

- **Enumeration date:** 04/24/2007
- **Last updated:** 02/17/2016