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Individual
ANTHONY MAZZEO
Active
Individual
ANTHONY MAZZEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD426111
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013185820
—
PA
01
—
1013185820001
PROMISE
PA
01
—
1773372
BS
PA
01
—
2454613000
KEYSTONE
PA
01
—
30026141
KEYSTONE MERCY
PA
Enumeration date
07/03/2006
Last updated
04/29/2008
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