Mazzara, James T

Mazzara, James T is an individual health care provider with primary practice located at 29 Haynes St , Manchester CT 06040-4139. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mazzara, James T can be contacted via phone (860) 649-2267.

Contact Information

Primary practice address
29 Haynes St Manchester CT 06040-4139
Phone: (860) 649-2267
Fax: (860) 288-2107
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 031398 Connecticut

Profile Details

NPI number 1548224512
LBN Legal business name Mazzara, James T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jun 25th, 2021 - about 5 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 1548224512 NPPES
Connecticut MEDICAID 001313981

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