Active NPIIndividual provider

Mikhail Mazo, MD

Specialist in Newton, Massachusetts

NPI Number1740231216
Practice location
300 South St, Newton, MA 02467-3658
Fax
—
Last updated
July 13, 2026

Mikhail Mazo is a Specialist based in Newton, MA. Mikhail Mazo practices in Newton, MA and has the professional credentials of MD. The NPI Number for Mikhail Mazo is 1740231216 and holds a License No. 208421 (MA). The current practice location address for Mikhail Mazo is 300 South St, Newton, MA 02467-3658 and can be reached out via phone at 617-469-0300.

Provider Profile Details

NPI Number
1740231216
Provider Name
Mikhail Mazo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
300 South St, Newton, MA 02467-3658
Phone Number
617-469-0300
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
No
Provider Enumeration Date
May 12, 2006
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 South St
Newton, MA 02467-3658
City
Newton
Zip
02467-3658
Phone Number
617-469-0300
Newton, MA 02467Get directions →

Provider Business Mailing Address Details

Address
50/56 Broadlawn Park 222
Newton, MA 02467
City
Newton
State
MA
Zip
02467
Phone Number
617-469-2003

License Information

License Number
208421
License State
MA
Taxonomy
Specialist · 174400000X · 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 Mikhail Mazo, MD?

The NPI number of Mikhail Mazo, MD is 1740231216. It was assigned on May 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Mikhail Mazo, MD?

Mikhail Mazo, MD is registered under the primary taxonomy Specialist (code 174400000X), licensed in MA under license number 208421.

Where does Mikhail Mazo, MD practice?

The practice location is 300 South St, Newton, MA 02467-3658. The office can be reached at 617-469-0300 (phone).

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 1740231216 directly on the NPPES registry website.

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