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NPI Code Detail

MEDICARE: MS. VICTORIA MAZOLA APN

MEDICARE: MS. VICTORIA MAZOLA APN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist26NR22568300NJ
2367500000XCertified Registered Nurse Anesthetist751500NY

General Provider Information

NPI Number : 1295585719
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. VICTORIA MAZOLA APN
Provider Business Mailing Address
First Line : 262 SOUTH HOLLAND ROAD
Second Line :
City : HOLMDEL
State : NJ
Zip : 07733-1871
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 201 LYONS AVE
Second Line :
City : NEWARK
State : NJ
Zip : 07112-2027
Country : US
Telephone Number : 973-926-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2024
Last Update Date : 05/19/2026

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