Tiffany Nicole Mazur PA-C

NPI 1023206133 - Physician Assistant - 363AM0700X

NPI Details
NPI 1023206133
Gender Female
Enumeration Date 10/15/2007
Last Updated 04/16/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
175 E BROWN ST
SUITE 115
EAST STROUDSBURG PA, 18301-3098, US
Phone (570) 424-7764
Fax (570) 421-0760
Business Location
175 E BROWN ST
SUITE 115
EAST STROUDSBURG PA, 18301-3098, US
Phone (570) 424-7764
Fax (570) 421-0760
Toxanomy
Taxonomy Code 363AM0700X
License State Pennsylvania
License Number MA053215
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According to our database, Ms. Tiffany Nicole Mazur PA-C NPI is 1023206133, taxonomy code is 363AM0700X and license number is MA053215, license state is located at Pennsylvania. Tiffany Nicole Mazur PA-C physically located at 175 E Brown St, East Stroudsburg PA, 18301-3098. NPI Number Tiffany Nicole Mazur PA-C has the Individual type.

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1023206133 NPI number is provided on an as is basis without warranty of any kind. 1023206133 is maintained by the National Plan & Provider Enumeration System. The contents of Tiffany Nicole Mazur PA-C are for informational purposes only.