Individual
MICHAEL J MAZZINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
732 HARRISON AVE, PRESTON, 3RD FLOOR, BOSTON, MA 02118-2309
(617) 638-7490
(617) 414-8742
Mailing address
3 WOODLAND RD, STE 421, STONEHAM, MA 02180-1714
(617) 414-5405
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
223341
MA
207RC0000X
Cardiovascular Disease Physician
223341
MA
207RC0001X
Clinical Cardiac Electrophysiology Physician
20159
NH
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
223341
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110086025A
—
MA
05
—
3119927
—
NH
Enumeration date
06/02/2006
Last updated
01/24/2020
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