Individual
MR. GREGORY JOHN MAZZATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1145 BEACON AVE, MANAHAWKIN, NJ 08050-2471
(609) 597-6688
(609) 597-9907
Mailing address
1145 BEACON AVE, MANAHAWKIN, NJ 08050-2471
(609) 597-6688
(609) 597-9907
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00231500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7079508
—
NJ
Enumeration date
09/02/2006
Last updated
09/17/2012
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