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Individual

JOSEPH P MAZZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6 BLACKSTONE VALLEY PL STE 105, LINCOLN, RI 02865-1112
(401) 762-3838
(401) 762-8252
Mailing address
6 BLACKSTONE VALLEY PL STE 105, LINCOLN, RI 02865-1112
(401) 762-3838
(401) 762-8252

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD07909
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7001415
RI
Enumeration date
07/11/2005
Last updated
12/20/2022
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