Kim Mazak is a Physician Assistant in Linwood, New Jersey. Kim Mazak practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kim Mazak is 1487660882. The last update date is 2007-07-08.
Kim Mazak's current location address is 2106 New Rd, Linwood, New Jersey. You can contact this provider via phone number 6099268899 and fax number 6096538713. The mailing address for Kim Mazak is 2106 New Rd, Linwood, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kim Mazak |
|---|---|
| Address | 2106 New Rd, Linwood, New Jersey |
| Phone Number | 6099268899 |
| Fax Number | 6096538713 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1487660882 |
|---|---|
| Provider Enumeration Date | 2006-07-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2106 New Rd |
|---|---|
| City | Linwood |
| State | New Jersey (NJ) |
| Post Code | 82211046 |
| Phone Number | 6099268899 |
| Fax Number | 6096538713 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 25MP00081100 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
Could you provide the complete address where Kim Mazak is physically located?
The Kim Mazak is situated at the following address: 2106 New Rd, Linwood, NJ 82211046.
What is Kim Mazak's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kim Mazak's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date was the 1487660882 assigned to Kim Mazak?
The Kim Mazak was issued its 1487660882 on 2006-07-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kim Mazak most recently updated?
The details pertaining to the Kim Mazak, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
As of what date was the information pertaining to Kim Mazak, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kim Mazak, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.