Individual
DR. JOHN JOSEPH MAZZELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2397 STATE ROUTE 36, ATLANTIC HIGHLANDS, NJ 07716-2532
(732) 872-6595
(732) 872-1508
Mailing address
2397 STATE ROUTE 36, ATLANTIC HIGHLANDS, NJ 07716-2532
(732) 872-6595
(732) 872-1508
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC04441
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MC04441
STATE LICENSE NUMBER
NJ
Enumeration date
01/29/2007
Last updated
12/28/2007
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