Mazure, Jeffrey M

Mazure, Jeffrey M is an individual health care provider with primary practice located at 15 E Redman Ave Ste A , Haddonfield NJ 08033-2316. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mazure, Jeffrey M can be contacted via phone (856) 428-1335.

Contact Information

Primary practice address
15 E Redman Ave Ste A Haddonfield NJ 08033-2316
Fax: (856) 428-1330
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS-013105 Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MB74824 New Jersey

Profile Details

NPI number 1053351924
LBN Legal business name Mazure, Jeffrey M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Sep 27th, 2019 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053351924 NPPES
Pennsylvania MEDICAID 1022848140002
Pennsylvania MEDICAID 1022848140001
Pennsylvania Other CD4829

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