Individual
MR. VITO MAZZOCCOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
73 BLOOMFIELD AVE, 1ST FLOOR, CALDWELL, NJ 07006-5311
(973) 403-3200
(973) 403-3250
Mailing address
73 BLOOMFIELD AVE, 1ST FLOOR, CALDWELL, NJ 07006-5311
(973) 403-3200
(973) 403-3250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA072343
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029483
—
NJ
Enumeration date
03/16/2006
Last updated
04/24/2015
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