Individual
NICHOLAS MAZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
148 S BROADWAY, PITMAN, NJ 08071-2232
(856) 889-1304
Mailing address
148 S BROADWAY, PITMAN, NJ 08071-2232
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86145599
NJ
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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