Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHEN MAZE, PT
Active Sole ProprietorSTEPHEN MAZE, PT is a Sports Medicine (PM&R) healthcare provider located in BALA CYNWYD, Pennsylvania. NPI 1457906802 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · BALA CYNWYD, PA
Registration Details
- NPI Number
- 1457906802
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 2, 2019 (7.0748024788374 yrs)
- Last Updated
- Aug 2, 2019
- License
-
PT028012 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 PRESIDENTIAL BLVDBALA CYNWYD, PA, 190041108Browse PA providers · Browse ZIP 19004
- Phone
- 6106680904
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
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.