Organization
UNIVERSITY UROGYNECOLOGY ASSOCIATION, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY J. MAZZARELLI M.D. (CHIEF MEDICAL OFFICE)
(856) 968-7858
Entity
Organization
Contact information
Practice address
6012 MAIN STREET, VOORHEES, NJ 08043-4659
(856) 325-6622
(856) 325-6652
Mailing address
1 FEDERAL STREET, SW-200, CAMDEN, NJ 08103-1155
(856) 356-4924
(856) 382-6455
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NJ
207V00000X
Obstetrics & Gynecology Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8200301
—
NJ
Enumeration date
07/22/2006
Last updated
07/28/2016
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