Individual
WOJCIECH MAZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2123 AUBURN AVE, CINCINNATI, OH 45219-2906
(513) 206-1120
(513) 206-1122
Mailing address
237 WILLIAM HOWARD TAFT RD, 2ND FLOOR, CBO 2-3, CINCINNATI, OH 45219-2610
(513) 206-1120
(513) 206-1122
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35081420
OH
207UN0901X
Nuclear Cardiology Physician
35081420
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000252112
ANTHEM
—
01
—
060071267
RAILROAD MEDICARE
—
05
—
200408710
—
IN
05
—
2347839
—
OH
01
—
2503091
UNITED
—
01
—
283871
AMERIGROUP
—
01
—
2847307
AETNA
—
05
—
64053762
—
KY
01
—
8142001
HUMANA
—
Enumeration date
03/03/2006
Last updated
10/24/2020
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