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1285748897
MARK A MAZAK
LAKEWOOD, NJ
NPI
1285748897
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NJ 25MP00083300)
Enumeration Date
2006-08-19
Last Update Date
2007-07-08
Business Address
-- MARK A MAZAK PA-C
150 E KENNEDY BLVD
LAKEWOOD, NJ 08701-1345
Phone number: 732-364-0515
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Mailing Address
-- MARK A MAZAK PA-C
150 E KENNEDY BLVD
LAKEWOOD, NJ 08701-1345
Phone number: 732-364-0515
Copy
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