Alexandra M Mazzarese Valid NPI

Individual provider · Physician Assistant · Marlton, NJ

NPI

1174988745

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

25MP00440600 (NJ)

Sex

Female

Sole proprietor

Yes

Enumerated

2015-12-23

Last updated

2024-10-10