Individual
DR. SAMUEL J. MAZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6 DEPOT STREET, SOUTHWICK, MA 01077
(413) 569-2120
(413) 569-6493
Mailing address
PO BOX 1007, SOUTHWICK, MA 01077-1007
(413) 569-2120
(413) 569-6493
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
33086
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3102271
—
MA
Enumeration date
09/22/2005
Last updated
09/25/2014
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