Individual
CHRISTOPHER MAZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 ALICE PECK DAY DR, LEBANON, NH 03766-2694
(603) 448-3121
(603) 448-7462
Mailing address
10 ALICE PECK DAY DR, LEBANON, NH 03766-2694
(603) 448-3121
(603) 448-7462
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
7729
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00006469
BCBS VT
VT
05
—
0006469
—
VT
01
—
0105549Y0NH01
ANTHEM ICC
NH
01
—
0105549Y0NH02
ANTHEM ER
NH
01
—
0554900
ANTHEM
NH
01
—
58000
CIGNA
NH
01
—
77P588
MVP
NH
05
—
80001430
—
NH
Enumeration date
09/30/2005
Last updated
04/08/2013
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