Individual
DR. JOSEPH P MAZZEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4322 S GARDENIA DR, CHANDLER, AZ 85248-0089
(312) 608-4086
Mailing address
4322 S GARDENIA DR, CHANDLER, AZ 85248-0089
(312) 608-4086
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
007596
AZ
207P00000X
Emergency Medicine Physician
036106115
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036106115 8
—
IL
05
—
1548276991
—
WI
01
—
MAZZEJOE
MERCYCARE INSURANCE
WI
01
—
P00466577-CD3624
RR MEDICARE
IL
Enumeration date
07/31/2006
Last updated
10/05/2021
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