Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAZEN S. ITANI, M.D.
Active Sole ProprietorMAZEN S. ITANI, M.D. is a General Surgery healthcare provider located in FLANDERS, New Jersey. NPI 1770555930 is currently active in the NPPES registry. Verify at CMS.
General Surgery · FLANDERS, NJ
Registration Details
- NPI Number
- 1770555930
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 2, 2006 (20.575177956447 yrs)
- Last Updated
- Jan 19, 2021
- Licenses
-
25MA08075500 (NJ)25MA08075500 (NJ)25MA08075500 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
183 US HIGHWAY 206 STE 2FLANDERS, NJ, 07836Browse NJ providers · Browse ZIP 07836
- Phone
- 9737057202
- Fax
- 9737057262
- Primary Specialty
-
General Surgery
208600000X
- Additional Specialty
- Vascular Surgery
- Additional Specialty
- General Surgery
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.