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NPI Code Detail

MEDICARE: DR. MURRAY J MAZER MD

MEDICARE: DR. MURRAY J MAZER MD
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
12085R0204XVascular & Interventional Radiology PhysicianMD27224KY
22085R0204XVascular & Interventional Radiology PhysicianMD14579TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
162-0476822OTHERTAX ID
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538189444
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MURRAY J MAZER MD
Provider Business Mailing Address
First Line : 719 THOMPSON LN STE 30330
Second Line :
City : NASHVILLE
State : TN
Zip : 37204-4701
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3601 THE VANDERBILT CLINIC
Second Line :
City : NASHVILLE
State : TN
Zip : 37232-5100
Country : US
Telephone Number : 615-322-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2006
Last Update Date : 04/09/2021

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