Individual
JEANAE I MAZZONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
51 ROUTE 23 SOUTH, 1ST FLOOR, RIVERDALE, NJ 07457
(973) 831-4200
(201) 818-4888
Mailing address
82 E. ALLENDALE ROAD, SUITE 7, SADDLE RIVER, NJ 07458
(201) 236-8282
(201) 236-0138
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MB06730700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7635109
—
NJ
Enumeration date
06/06/2006
Last updated
11/09/2009
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