Individual
ALEXANDRA M MAZZARESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
90 BRICK RD FL 3, MARLTON, NJ 08053-2177
(856) 355-6000
Mailing address
241 S 49TH ST APT 321, PHILADELPHIA, PA 19139-4285
(908) 432-2434
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00440600
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/23/2015
Last updated
10/10/2024
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