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Individual

DEAN THOMAS MAZUREK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1 COOPER PLZ, COOPER ANESTHESIA ASSOCIATES, CAMDEN, NJ 08103-1461
(856) 342-2425
Mailing address
3 COOPER PLZ, SUITE 502, CAMDEN, NJ 08103-1438
(856) 968-7433

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NR06593600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00107770300
AMERICHOICE
NJ
Enumeration date
06/20/2006
Last updated
05/16/2008
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