Individual
MR. JEFFREY ALBERT MAZZATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1145 BEACON AVE, MANAHAWKIN, NJ 08050-2471
(609) 597-6688
(609) 597-9907
Mailing address
1145 BEACON AVE, MANAHAWKIN, NJ 08050-2471
(609) 597-6688
(609) 597-9907
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00239800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0334976000
AMERIHRALTH
NJ
01
—
1743236
UNITED HEALTHCARE
NJ
01
—
6318233004
CIGNA
NJ
05
—
7877901
—
NJ
01
—
F17428
HEALTHNET
NJ
01
—
P1134962
OXFORD
NJ
Enumeration date
09/02/2006
Last updated
09/17/2012
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