Individual
JULIE MAZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1085 N MAIN ST, PROVIDENCE, RI 02904-5719
(401) 415-4200
Mailing address
1085 N MAIN ST, PROVIDENCE, RI 02904-5719
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
1023801
MA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
DO01466
RI
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
1023801
MA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
DO01466
RI
Other
Enumeration date
03/30/2020
Last updated
06/24/2025
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