Individual
DENNIS MICHAEL MAZIARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
680 HEACOCK RD, SUITE 101, YARDLEY, PA 19067-6346
(215) 493-6519
(215) 493-6704
Mailing address
680 HEACOCK RD, SUITE 101, YARDLEY, PA 19067-6346
(215) 493-6519
(215) 493-6704
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD014124E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015526800001
—
PA
Enumeration date
08/30/2006
Last updated
07/08/2007
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