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Individual

JASON DANIEL MAZZURCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
11844 ROCK LANDING DR STE B, NEWPORT NEWS, VA 23606
(757) 873-0161
(757) 873-0205
Mailing address
11844 ROCK LANDING DR STE B, NEWPORT NEWS, VA 23606-4206
(757) 873-0161
(757) 873-0205

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
5101017472
MI
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
0102203845
VA
207ND0101X
MOHS-Micrographic Surgery Physician
5101017472
MI

Other

Enumeration date
06/29/2007
Last updated
11/11/2024
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