Individual
SUSAN MOZZICATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.H.S.
Contact information
Practice address
1 MEDICAL CENTER DR, ALLERGY &CLINICAL IMMUNOLOGY, DEPARTMENT OF PEDIATRICS, LEBANON, NH 03756-1000
(603) 653-9885
(603) 650-0907
Mailing address
1 MEDICAL CENTER DR, ALLERGY &CLINICAL IMMUNOLOGY, DEPARTMENT OF PEDIATRICS, LEBANON, NH 03756-1000
(603) 653-9885
(603) 650-0907
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
051787
CT
207K00000X
Allergy & Immunology Physician
Primary
16727
NH
207R00000X
Internal Medicine Physician
16727
NH
Other
Enumeration date
04/07/2008
Last updated
10/01/2014
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