Individual
LAUREN MAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 ROUTE 9 N, SUITE 302, WOODBRIDGE, NJ 07095-1215
(732) 634-0036
(732) 855-9395
Mailing address
1000 ROUTE 9 N, SUITE 302, WOODBRIDGE, NJ 07095-1215
(732) 634-0036
(732) 855-9395
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA66813
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1377907
UNITED HEALTH CARE
—
01
—
582000
AETNA
—
05
—
8222401
—
NJ
01
—
K5407
HORIZON BLUE SHIELD
—
Enumeration date
01/27/2006
Last updated
02/14/2011
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