Individual
DR. ANNMARIE MAZZOCCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 SUMMIT AVE, GREENSBORO, NC 27405-4522
(336) 621-2500
Mailing address
2500 SUMMIT AVE, GREENSBORO, NC 27405-4522
(336) 621-2500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27246
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55332
BCBS
NC
05
—
8955332
—
NC
Enumeration date
06/16/2006
Last updated
01/04/2017
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