Individual
EDWARD T MEZIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26 THROCKMORTON LN, OLD BRIDGE, NJ 08857-2520
(732) 679-9950
(732) 679-9956
Mailing address
26 THROCKMORTON LN, OLD BRIDGE, NJ 08857-2520
(732) 679-9950
(732) 679-9956
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
25MA05018700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0917303
—
NJ
Enumeration date
12/06/2006
Last updated
05/18/2012
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