Individual
DANIEL MAZZAFERRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 S ORANGE AVE STE 295, LIVINGSTON, NJ 07039-5817
(203) 494-2369
Mailing address
200 S ORANGE AVE STE 295, LIVINGSTON, NJ 07039-5817
(203) 494-2369
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
25MA11401900
NJ
208200000X
Plastic Surgery Physician
333368
NY
208200000X
Plastic Surgery Physician
MD473746
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MT216127
—
PA
Enumeration date
03/23/2018
Last updated
12/06/2024
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