Individual
DOMINIC MAZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
36 LYDIA DR, GUTTENBERG, NJ 07093-8366
(201) 317-6104
(201) 868-0874
Mailing address
36 LYDIA DR, GUTTENBERG, NJ 07093-8366
(201) 317-6104
(201) 868-0874
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00553500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38MC00553500
NJ LICENSE NUMBER
NJ
Enumeration date
12/08/2008
Last updated
07/14/2014
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