Active NPIIndividual provider

Dr. Douglas E Mazzuca, DO

Ophthalmology in Pennsville, New Jersey

NPI Number1033109848
Practice location
48 N Broadway, Pennsville, NJ 08070-1754
Fax
856-678-3630
Last updated
September 22, 2020

Douglas Edward Mazzuca is an Ophthalmology based in Pennsville, NJ. Douglas Edward Mazzuca practices in Pennsville, NJ and has the professional credentials of DO. The NPI Number for Douglas Edward Mazzuca is 1033109848 and holds a License No. 25MB04899600 (NJ). The current practice location address for Douglas Edward Mazzuca is 48 N Broadway, Pennsville, NJ 08070-1754 and can be reached out via phone at 856-678-4800 and via fax at 856-678-3630.

Provider Profile Details

NPI Number
1033109848
Provider Name
Douglas Edward Mazzuca
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
48 N Broadway, Pennsville, NJ 08070-1754
Phone Number
856-678-4800
Fax Number
856-678-3630
Primary Taxonomy
Ophthalmology · 207W00000X
Sole Proprietor
No
Provider Enumeration Date
October 24, 2005
Last Update Date
September 22, 2020
Certification Date
September 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
48 N Broadway
Pennsville, NJ 08070-1754
Zip
08070-1754
Phone Number
856-678-4800
Fax Number
856-678-3630
Pennsville, NJ 08070Get directions →

Provider Business Mailing Address Details

Address
48 N Broadway
Pennsville, NJ 08070-1754
City
Pennsville
State
NJ
Zip
08070-1754
Phone Number
856-678-4800
Fax Number
856-678-3630

License Information

License Number
25MB04899600
License State
NJ
Taxonomy
Ophthalmology · 207W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Douglas E Mazzuca, DO?

The NPI number of Dr. Douglas E Mazzuca, DO is 1033109848. It was assigned on October 24, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Douglas E Mazzuca, DO?

Dr. Douglas E Mazzuca, DO is registered under the primary taxonomy Ophthalmology (code 207W00000X), licensed in NJ under license number 25MB04899600.

Where does Dr. Douglas E Mazzuca, DO practice?

The practice location is 48 N Broadway, Pennsville, NJ 08070-1754. The office can be reached at 856-678-4800 (phone) or 856-678-3630 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033109848 directly on the NPPES registry website.

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