Organization
MAZZUCA EYE AND LASER CENTERS,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY ANN MARANDOLA (OFFICE MANAGER)
(856) 678-4800
Entity
Organization
Contact information
Practice address
48 N BROADWAY, PENNSVILLE, NJ 08070-1754
(856) 678-4800
Mailing address
48 N BROADWAY, PENNSVILLE, NJ 08070-1754
(856) 678-4800
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2175328000
AMERIHEALTH PPO
NJ
01
—
2272222000
AMERIHEALTH HMO
NJ
01
—
5144456
AETNA
NJ
01
—
CE7177
PALMETTO GBA
NJ
Enumeration date
05/23/2006
Last updated
05/22/2008
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