Organization
CMC PSYCHIATRIC ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY J. MAZZARELLI M.D. (CHIEF MEDICAL OFFICE)
(856) 968-7858
Entity
Organization
Contact information
Practice address
3 COOPER PLZ, SUITE 307, CAMDEN, NJ 08103-1438
(856) 342-2328
(856) 541-6137
Mailing address
1 FEDERAL STREET, SW-200, CAMDEN, NJ 08103-1155
(856) 356-4924
(856) 382-6455
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
NJ
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00900557000
AMERIHEALTH
—
01
—
0090557000
AMERIHEALTH GRP#
NJ
05
—
100775601
—
PA
05
—
3030601
—
NJ
05
—
6415903
—
NJ
01
—
9476
AETNA
—
Enumeration date
06/10/2006
Last updated
07/27/2016
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