LAURENCE J. MAZZOTTA MD PC
Osteopathic Medicine at Redwood St, Vallejo, CA

License number
California G28907
Category
Osteopathic Medicine
Type
Gastroenterology
Owner
Name: LAURENCE J MAZZOTTA MD
Title: SOLE PROPRIETOR
Phone: (707) 648-3327
Address
Address
480 Redwood St SUITE 14, Vallejo, CA 94590
National Provider ID: 1386825750
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LAURENCE J. MAZZOTTA, M.D., A PROFESSIONAL CORPORATION

480 Redwood St STE 14, Vallejo, CA 94590

Industry:
Medical Doctor's Office
Registration:
Jul 18, 1980
State ID:
C0988066
Business type:
Articles of Incorporation
President:
Laurence J. Mazzoita (President)
Agent:
Laurence J Mazzoita,Vallejo, CA 94590 (Physical)

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