Dr. Douglas Edward Mazzuca
Ophthalmologist
48 N Broadway
Pennsville
, New Jersey 08070-1754
Dr. Douglas Edward Mazzuca
Ophthalmologist
48 N Broadway
Pennsville
, New Jersey 08070-1754
(856) 678-3630
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Dr. Douglas Edward Mazzuca
- 48 N Broadway
- Pennsville, NJ
- Zip : 08070-1754
- Fax : (856) 678-3630
- Phone : (856) 678-4800
Second Address
- Dr. Douglas Edward Mazzuca
- 48 N Broadway
- Pennsville, NJ
- Zip : 08070-1754
- Fax : (856) 678-3630
- Phone : (856) 678-4800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 25MB04899600 | NJ |
National Provider Identifier
| NPI | 1033109848 |
|---|---|
| Provider Name | Dr. Douglas Edward Mazzuca |
| First Address | Pennsville, NJ 08070-1754 |
| Second Address | Pennsville, NJ 08070-1754 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/10/2005 |
| Last Update Date | 22/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0105577000 | AMERIHEALTH (01) | NJ |
| 180030900 | PALMETTO GBA (01) | NJ |
| 223485583 | BLUE CROSS (01) | NJ |
| 223485583 | TAX ID (01) | NJ |
| 342 | OPERATING ENGINEERS 825 (01) | NJ |
| 55179 | AETNA (01) | NJ |
| C48592 | (02) | NJ |
| SA000004901 | AMERICHOICE (01) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.