Organization
JOHN J. MAZZUCCO, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN JOSEPH MAZZUCCO MD (MANAGER)
(203) 757-1580
Entity
Organization
Contact information
Practice address
1211 W MAIN ST, WATERBURY, CT 06708-3106
(203) 757-1580
(203) 573-6090
Mailing address
1211 W MAIN ST, WATERBURY, CT 06708-3106
(203) 757-1580
(203) 573-6090
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
031891
CT
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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