Individual
MR. RICHARD J MAZZEI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
77 BROADWAY, BANGO, ME 04401
(207) 947-2788
(207) 990-2545
Mailing address
77 BROADWAY, BANGO, ME 04401
(207) 947-2788
(207) 990-2545
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
010002
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002154
BCBS
ME
01
—
1042386
AETNA
ME
01
—
M55360
CIGNA
ME
Enumeration date
06/15/2006
Last updated
07/08/2007
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