Mazur, Eric M
Mazur, Eric M is an individual health care provider with primary practice located at 24 Stevens St , Norwalk CT 06850-3852. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hematology is his primary health care specialty. Mazur, Eric M can be contacted via phone (203) 852-2368.Contact Information
Primary practice address
24 Stevens St
Norwalk CT 06850-3852
Phone: (203) 852-2368
Fax: (203) 855-3589
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | 021096 | Connecticut |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 021096 | Connecticut |
Profile Details
| NPI number | 1881664886 |
|---|---|
| LBN Legal business name | Mazur, Eric M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Nov 9th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881664886 | NPPES |
| Connecticut | Other | OV5808 | HEALTHNET |
| Connecticut | Other | 2543585 | HEALTHNET |
| Connecticut | Other | 010021096CT01 | HEALTHNET |
| Connecticut | Other | 213321 | HEALTHNET |
| Connecticut | Other | ZS925 | HEALTHNET |
| Connecticut | MEDICAID | 001210963 | HEALTHNET |
| Connecticut | Other | 6893765-007 | HEALTHNET |
| Connecticut | Other | 210960 | HEALTHNET |
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