Individual
DR. ERIC M MAZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24 STEVENS ST, NORWALK, CT 06850-3852
(203) 852-2368
(203) 855-3589
Mailing address
280 NEWTOWN TPKE, WESTON, CT 06883-1320
(203) 952-5929
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
021096
CT
207RH0000X
Hematology (Internal Medicine) Physician
Primary
021096
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001210963
—
DE
01
—
010021096CT01
ANTHEM B/C
CT
01
—
210960
CONNECTICARE
CT
01
—
213321
UHC
CT
01
—
2543585
AETNA PROVIDER NUMBER
CT
01
—
6893765-007
CITNA
CT
01
—
OV5808
HEALTHNET
CT
01
—
ZS925
OXFORD
CT
Enumeration date
01/24/2006
Last updated
11/09/2015
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