| Alexander Mazziotti, M.d., P.a. | |
|
268 Lincoln Ave Hawthorne NJ 07506-1201 | |
| (973) 423-3335 | |
| Not Available |
| Full Name | Alexander Mazziotti, M.d., P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 268 Lincoln Ave, Hawthorne, New Jersey |
| Authorized Official Name and Position | Alexander R. Mazziotti (PRESIDENT) |
| Authorized Official Contact | 9734233335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander Mazziotti, M.d., P.a. 268 Lincoln Ave Hawthorne NJ 07506-1201 Ph: (973) 423-3335 | Alexander Mazziotti, M.d., P.a. 268 Lincoln Ave Hawthorne NJ 07506-1201 Ph: (973) 423-3335 |
| NPI Number | 1689754731 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7012191596 |
|---|---|
| Medicare Enrollment ID | O20110407000182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689754731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 36284 (New Jersey) | Primary |
| Provider Name | Alexander R Mazziotti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902996283 PECOS PAC ID: 5496939985 Enrollment ID: I20110407000276 |
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