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1417634817
MARIO JOSE MAZARA
JERSEY CITY, NJ
NPI
1417634817
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-06-28
Last Update Date
2023-06-28
Business Address
MARIO JOSE MAZARA MD
355 GRAND ST
JERSEY CITY, NJ 07302-4321
Phone number: 201-915-2431
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Mailing Address
MARIO JOSE MAZARA MD
355 GRAND ST
JERSEY CITY, NJ 07302-4321
Phone number: 201-915-2000
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