Individual
MRS. AMANDA MAZZETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1075 CENTRAL AVE, CLARK, NJ 07066
(732) 574-1399
(732) 574-1433
Mailing address
1075 CENTRAL AVE, CLARK, NJ 07066
(732) 574-1399
(732) 574-1433
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00208400
NJ
Other
Enumeration date
10/17/2008
Last updated
11/30/2016
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