John J. Mazzucco, MD, LLC
Clinic/Center, Health Services in Waterbury, Connecticut
1275721557- Practice location
- 1211 W Main St, Waterbury, CT 06708-3106
- Phone
- 203-757-1580
- Fax
- 203-573-6090
- Last updated
- October 11, 2007
John J. Mazzucco, MD, LLC is a healthcare organization based in Waterbury, CT. John J. Mazzucco, MD, LLC practices in Waterbury, CT. The NPI Number for John J. Mazzucco, MD, LLC is 1275721557 and holds a License No. 031891 (CT). The current practice location address for John J. Mazzucco, MD, LLC is 1211 W Main St, Waterbury, CT 06708-3106 and can be reached out via phone at 203-757-1580 and via fax at 203-573-6090.
Provider Profile Details
- NPI Number
- 1275721557
- Provider Name
- John J. Mazzucco, MD, LLC
- Provider Entity Type
- Organization
- Address
- 1211 W Main St, Waterbury, CT 06708-3106
- Phone Number
- 203-757-1580
- Fax Number
- 203-573-6090
- Primary Taxonomy
- Clinic/Center, Health Services · 261QH0100X
- Organization Subpart
- No
- Authorized Official
- Dr. John Joseph Mazzucco, MD · Manager · 203-757-1580
- Provider Enumeration Date
- October 11, 2007
- Last Update Date
- October 11, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1211 W Main St
Waterbury, CT 06708-3106 - City
- Waterbury
- State
- Connecticut
- Zip
- 06708-3106
- Phone Number
- 203-757-1580
- Fax Number
- 203-573-6090
Provider Business Mailing Address Details
- Address
- 1211 W Main St
Waterbury, CT 06708-3106 - City
- Waterbury
- State
- CT
- Zip
- 06708-3106
- Phone Number
- 203-757-1580
- Fax Number
- 203-573-6090
License Information
- License Number
- 031891
- License State
- CT
- Taxonomy
- Clinic/Center, Health Services · 261QH0100X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 John J. Mazzucco, MD, LLC?
The NPI number of John J. Mazzucco, MD, LLC is 1275721557. It was assigned on October 11, 2007 and is currently active in the NPPES registry.
What is the specialty of John J. Mazzucco, MD, LLC?
John J. Mazzucco, MD, LLC is registered under the primary taxonomy Clinic/Center, Health Services (code 261QH0100X), licensed in CT under license number 031891.
Where does John J. Mazzucco, MD, LLC practice?
The practice location is 1211 W Main St, Waterbury, CT 06708-3106. The office can be reached at 203-757-1580 (phone) or 203-573-6090 (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 1275721557 directly on the NPPES registry website.