Individual
ALICE MAZZAFERRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
299 CAREW ST, SUITE201, SPRINGFIELD, MA 01104-2301
(413) 732-4589
Mailing address
85 MAXWELL RD, MONSON, MA 01057-9438
(413) 283-4316
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
5133
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0317624
—
MA
Enumeration date
04/16/2007
Last updated
07/08/2007
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