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Organization

LAURENCE J. MAZZOTTA MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURENCE J MAZZOTTA MD (SOLE PROPRIETOR)
(707) 648-3327
Entity
Organization

Contact information

Practice address
480 REDWOOD ST, SUITE 14, VALLEJO, CA 94590-2958
(707) 648-3327
(707) 648-3902
Mailing address
480 REDWOOD ST, SUITE 14, VALLEJO, CA 94590-2958
(707) 648-3327
(707) 648-3902

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G28907
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G289070
CA
Enumeration date
11/14/2007
Last updated
10/06/2010
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