| NPI | 1386825750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURENCE J MAZZOTTA Sole Proprietor 707-648-3327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CA G28907) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2010-10-06 |