Individual
FERMINA M MAZZELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
150 BERGEN ST, ROOM C-102, NEWARK, NJ 07103-2496
(973) 972-4619
(973) 972-3199
Mailing address
185 S ORANGE AVE, ROOM C-579 - MSB, NEWARK, NJ 07103-2757
(973) 972-4520
(973) 972-5909
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
Primary
25MA08151200
NJ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
25MA08151200
NJ
Other
Enumeration date
10/20/2005
Last updated
09/11/2025
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