Individual
DR. ANTHONY A. MAZZARULLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
(510) 900-3125
Mailing address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
(510) 900-3125
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
2010-02091
NC
2084N0400X
Neurology Physician
C147508
CA
2084N0400X
Neurology Physician
MD180163
OR
2084P0800X
Psychiatry Physician
2010-02091
NC
2084P0800X
Psychiatry Physician
Primary
C147508
CA
2084P0800X
Psychiatry Physician
M6752
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801090006
—
NC
05
—
194605502
—
TX
05
—
5916730
—
NC
01
—
BP1-0026742
INSTITUTIONAL PERMIT
—
05
—
NC1329
—
SC
Enumeration date
06/12/2007
Last updated
07/20/2022
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