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Contact Information

DOMINIC L MAZZA, MD
398 KENNEDY DR
ARCHBALD, PA18403-1582
 Phone: 570-876-1663
 Fax: 570-876-8223
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychosomatic Medicine

2084P0015X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for DOMINIC L MAZZA · (Male)

NPI Number 1265650063
Status Active
Credentials MD
Entity Individual
Enumeration date 04/24/2007
Last updated 02/17/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # 04318E
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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