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Contact Information

JULIE MAZZA, DO
1085 N MAIN ST
PROVIDENCE, RI02904-5719
 Phone: 401-415-4200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JULIE MAZZA · (Female)

NPI # 1104454883
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/30/2020
Last updated 06/24/2025 - About 12 months ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 1023801
  • RI License # DO01466
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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