Individual
MS. GRACE MARIE MAZZATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1 RIVERVIEW MEDICAL CENTER, RED BANK, NJ 07701
(732) 530-2572
Mailing address
425 JACK MARTIN BLVD, BRICK, NJ 08724-7732
(732) 840-0697
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NN08727500
NJ
Other
Enumeration date
11/18/2005
Last updated
05/09/2018
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