Individual
JOHN MAZZULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 WASHINGTON ST, NEMC BOX #836, BOSTON, MA 02111
(617) 636-5000
Mailing address
750 WASHINGTON ST, NEMC BOX #836, BOSTON, MA 02111
(617) 636-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
43435
MA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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