Individual
CHERIE M MAZEFFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
100 E LEHIGH AVENUE, PHILADELPHIA, PA 19125
(215) 707-1656
(215) 707-0805
Mailing address
PO BOX 828065, PHILADELPHIA, PA 19182-8065
(800) 666-2455
(610) 617-6280
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS010342L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017994900007
—
PA
01
—
0284067000
INDEPENDENCE BC
PA
01
—
529796
HIGHMARK BS
PA
Enumeration date
03/14/2006
Last updated
07/15/2019
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