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PAUL F MAZZARA MD

Physicians Pathology Cytopathology

Provider NPI: 1952415887

Provider Information:
 PAUL F MAZZARA MD
Gender: M
Sole Proprietor

Practice Location:
22101 MOROSS RD  DETROIT, MI 48236-2148 US
Tel: 313-343-4000  Fax: 313-881-4727

Business Mailing Address:
5700 SOUTHWYCK BLVD  TOLEDO, OH 43614-1509 US
Tel: 800-288-8325  Fax: 419-866-5453

NPI Information:
NPI: 1952415887
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207ZC0500XPhysicians
Pathology
Cytopathology
MI4301051595
Y207ZP0102XPhysicians
Pathology
MI4301051595

Other Provider Identifiers:

IssuerNumberStateType
4618178MI05



American Medical Association 2012 taxonomy code information

Code: 207ZP0102X

Type:

Classification:



Definition:



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