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Contact Information

SAMUEL J MAZZA, MD
6 DEPOT STREET
SOUTHWICK, MA01077
 Phone: 413-569-2120
 Fax: 413-569-6493
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SAMUEL J MAZZA · (Male)

NPI # 1578559779
Status Active
Credentials MD
Entity Individual
Enumeration date 09/22/2005
Last updated 09/25/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 33086
  • MA Medicaid 3102271
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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