Individual
DR. FREDRIC CARL MAZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
150 BERGEN ST, UH, DEPT OF ORAL AND MAXILLOFACIAL SURGERY, RM C-401, NEWARK, NJ 07103-2496
(973) 280-2297
Mailing address
67 FOREST DR, POMPTON PLAINS, NJ 07444-1516
(973) 280-2297
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22DI02379800
NJ
Other
Enumeration date
09/10/2008
Last updated
02/01/2010
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