Individual
MR. JOHN ROBERT MAZZACANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
950 CAMPBELL AVE, RESPIRATORY CARE, WEST HAVEN, CT 06516-2770
(203) 932-5711
(203) 937-3494
Mailing address
950 CAMPBELL AVE, RESPIRATORY CARE, WEST HAVEN, CT 06516-2770
(203) 932-5711
(203) 937-3494
Taxonomy
Speciality
Code
Description
License number
State
2279C0205X
Critical Care Registered Respiratory Therapist
Primary
000835
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1234567890
—
CT
Enumeration date
08/31/2006
Last updated
07/09/2007
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