Individual
DR. RICHARD MAZZAFERRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
300 CONGRESS ST, SUITE 304, QUINCY, MA 02169-0907
(617) 773-6300
(617) 773-6301
Mailing address
PO BOX 2200, AMHERST, NH 03031-4200
(603) 673-9411
(866) 267-2719
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
204521
MA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
204521
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2126818
—
MA
01
—
495761
TUFTS
MA
01
—
AA63775
HPHC
MA
01
—
J41186
BCBS
MA
Enumeration date
06/30/2006
Last updated
03/29/2012
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