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Individual

DR. CARL MAZZARA

Active
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Individual

DR. CARL MAZZARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

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
Update your record

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