# MASAKO MIZUSAWA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1962723619
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MA11384400 | NJ | — |
| 207RI0200X | Infectious Disease Physician | 2017007796 | MO | — |
| 207RI0200X | Infectious Disease Physician | 25MA11384400 | NJ | — |
| 207ZM0300X | Medical Microbiology Physician | 25MA11384400 | NJ | Yes |

## Other

- **Enumeration date:** 06/17/2010
- **Last updated:** 05/02/2024