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Individual
MRS. DONNA MICHELE MAZYCK
Active
Individual
MRS. DONNA MICHELE MAZYCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
26NJ00620700
NJ
207RB0002X
Obesity Medicine (Internal Medicine) Physician
26NJ00620700
NJ
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
26NJ00620700
NJ
261QI0500X
Infusion Therapy Clinic/Center
26NJ00720700
NJ
261QP2300X
Primary Care Clinic/Center
26NJ00620700
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00620700
NJ
363LA2200X
Adult Health Nurse Practitioner
SP015914
PA
Other
Enumeration date
02/21/2016
Last updated
07/09/2025
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