Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DOMINIC LOUIS MAZZA, M.D.
Active Sole ProprietorDR. DOMINIC LOUIS MAZZA, M.D. is a Psychosomatic Medicine healthcare provider located in ARCHBALD, Pennsylvania. NPI 1265650063 is currently active in the NPPES registry. Verify at CMS.
Psychosomatic Medicine · ARCHBALD, PA
Registration Details
- NPI Number
- 1265650063
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 24, 2007 (19.333705477129 yrs)
- Last Updated
- Feb 17, 2016
- License
-
04318E (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
398 KENNEDY DRARCHBALD, PA, 184031582Browse PA providers · Browse ZIP 18403
- Phone
- 5708761663
- Fax
- 5708768223
- Primary Specialty
-
Psychosomatic Medicine
2084P0015X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.