Individual
DR. CARL MAZZARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
485 ROUTE 1 SOUTH, SUITE 350, ISELIN, NJ 08830
(732) 549-3934
(732) 549-7250
Mailing address
660 WHITE PLAINS RD FL 4, TARRYTOWN, NY 10591-5139
(914) 984-2546
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MA053508
NJ
207Y00000X
Otolaryngology Physician
25MA05350800
NJ
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
25MA05350800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0388738002
CIGNA
—
01
—
0699933
GHI
—
01
—
0954673
AETNA
—
01
—
1275684
UNITED HEALTHCARE
—
01
—
223561248
HORIZON BCBS
—
01
—
223561248002
QUALCARE
—
01
—
598151
AMERIHEALTH
—
01
—
LS356
OXFORD
—
01
—
OK4425
HEALTHNET
—
Enumeration date
06/13/2005
Last updated
04/12/2019
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