Individual
MARIO JOSE MAZARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
355 GRAND ST, JERSEY CITY, NJ 07302-4321
(201) 915-2431
Mailing address
355 GRAND ST, JERSEY CITY, NJ 07302-4321
(201) 915-2000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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