Individual
JAMES T MAZZARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
29 HAYNES ST, MANCHESTER, CT 06040-4139
(860) 649-2267
(860) 288-2107
Mailing address
29 HAYNES ST, MANCHESTER, CT 06040-4139
(860) 649-2267
(860) 288-2107
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
031398
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001313981
—
CT
Enumeration date
04/14/2006
Last updated
06/25/2021
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