Individual
MARK A MAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
521 MOYE BLVD FL 1, ECU PHYSICIANS PULMONARY/CRITICAL CARE, GREENVILLE, NC 27834-2849
(252) 744-1600
(252) 744-1115
Mailing address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 534-9220
(814) 534-3290
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD043301E
PA
207RP1001X
Pulmonary Disease Physician
Primary
200600992
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1420C
BCBS NC
NC
05
—
5905461
—
NC
01
—
P00378420
RAILROAD MEDICARE
NC
Enumeration date
06/16/2005
Last updated
11/30/2011
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