Individual
STEPHEN MAZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
100 PRESIDENTIAL BLVD, BALA CYNWYD, PA 19004-1108
(610) 668-0904
Mailing address
100 PRESIDENTIAL BLVD, BALA CYNWYD, PA 19004-1108
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
PT028012
PA
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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