1477631307 MAZZONI CENTER

Family Medicine Physician

Active

Basic Information

Organization Name
MAZZONI CENTER
Enumeration Date
November 1, 2006
Last Update
September 5, 2023
Authorized Official
ALECIA MANLEY
COO
Phone: (215) 563-0652

Practice Location

Address
1348 BAINBRIDGE ST
PHILADELPHIA, PA 191471810
Phone
(215) 563-0652
Fax
(215) 563-0664

Mailing Address

Address
1348 BAINBRIDGE ST
PHILADELPHIA, PA 191471810
Phone
(215) 563-0652
Fax
(215) 563-0664

Specialties & Taxonomies

Specialty Code Classification License State Primary
Mental Health Counselor
Mental Health
 101YM0800X Counselor N/A N/A No
Social Worker
 104100000X Social Worker N/A N/A No
Case Management Agency
 251B00000X Case Management N/A N/A No
Community/Behavioral Health Agency
 251S00000X Community/Behavioral Health 807382 PA No
Family Medicine Physician
 207Q00000X Family Medicine N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
1007555740014 05 PA N/A

Additional Practice Locations

809 Locust Street
Philadelphia, PA 191074123

Phone: (215) 563-0658

Fax: (215) 563-0662

1201 Locust St
Philadelphia, PA 191075409

Phone: (215) 985-9206

Fax: (215) 923-0365

Digital Endpoints

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samuel.wilburn.1@2819.direct.athenahealth.com

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Frequently Asked Questions

What is MAZZONI CENTER's NPI number?
MAZZONI CENTER's NPI number is 1477631307.
Which doctor has NPI number 1477631307?
The doctor with NPI number 1477631307 is MAZZONI CENTER.
What is MAZZONI CENTER's practice address?
MAZZONI CENTER's practice address is 1348 BAINBRIDGE ST, PHILADELPHIA, PA, 191471810.
Which doctor practices at 1348 BAINBRIDGE ST, PHILADELPHIA, PA, 191471810?
MAZZONI CENTER practices at 1348 BAINBRIDGE ST, PHILADELPHIA, PA, 191471810.
What is MAZZONI CENTER's phone number?
MAZZONI CENTER's phone number is (215) 563-0652.
Who is (215) 563-0652?
(215) 563-0652 is the phone number for MAZZONI CENTER.
What is MAZZONI CENTER's specialty?
MAZZONI CENTER's specialty is Family Medicine Physician.
What type of doctor is MAZZONI CENTER?
MAZZONI CENTER is a Family Medicine Physician.
Is MAZZONI CENTER a Family Medicine?
Yes, MAZZONI CENTER is a Family Medicine.
Is MAZZONI CENTER still practicing?
Yes, MAZZONI CENTER is currently practicing.
Is MAZZONI CENTER accepting new patients?
MAZZONI CENTER may be accepting new patients. Please call their office at (215) 563-0652 to inquire about availability.
Is NPI 1477631307 still active?
Yes, NPI 1477631307 is currently active.
Where does MAZZONI CENTER practice?
MAZZONI CENTER practices in PHILADELPHIA, PA.