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Individual

DR. PAUL STEPHEN MAZUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2516 HIGHWAY 35, UNIT 102, MANASQUAN, NJ 08736-1926
(732) 223-8000
(732) 223-4010
Mailing address
2516 HIGHWAY 35, UNIT 102, MANASQUAN, NJ 08736-1926
(732) 223-8000
(732) 223-4010

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OA04216
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
222523338
TAX ID
NJ
05
4995201
NJ
01
691
LICENSE
SC
01
OA04216
LICENSE
NJ
Enumeration date
03/17/2006
Last updated
01/16/2013
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