Individual
DR. KIMBERLY L MAZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1401 ATLANTIC AVE, SUITE 2800, ATLANTIC CITY, NJ 08401-7022
(609) 441-8036
(609) 572-6021
Mailing address
1401 ATLANTIC AVE, SUITE 2800, ATLANTIC CITY, NJ 08401-7022
(609) 441-8036
(609) 572-6021
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA05995100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5614104
—
NJ
Enumeration date
07/03/2006
Last updated
09/11/2014
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