Individual
MASAKO MIZUSAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 2ND AVE, LONG BRANCH, NJ 07740-6303
(732) 222-5200
Mailing address
2310 HOLMES ST, STE 800, KANSAS CITY, MO 64108-2602
(816) 218-2523
(816) 285-6923
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA11384400
NJ
207RI0200X
Infectious Disease Physician
2017007796
MO
207RI0200X
Infectious Disease Physician
25MA11384400
NJ
207ZM0300X
Medical Microbiology Physician
Primary
25MA11384400
NJ
Other
Enumeration date
06/17/2010
Last updated
05/02/2024
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