Provider Demographics
NPI:1699773051
Name:MAZZA, STEVEN B (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:B
Last Name:MAZZA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 783311
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-3311
Mailing Address - Country:US
Mailing Address - Phone:484-884-4500
Mailing Address - Fax:484-884-0699
Practice Address - Street 1:2775 SCHOENERSVILLE RD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-7307
Practice Address - Country:US
Practice Address - Phone:610-861-8080
Practice Address - Fax:610-807-0366
Is Sole Proprietor?:No
Enumeration Date:2005-07-11
Last Update Date:2022-03-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD421108208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA019505520001Medicaid
2333959OtherUNITED HEALTHCARE
329290OtherHEALTH AMERICA/HEALTH ASS
P3178857OtherOXFORD HEALTH PLANS
2155666000OtherAMERIHEALTH
2170520OtherMAMSI
50027069OtherKEYSTONE HEALTH CENTRAL
818562OtherFIRST PRIORITY HEALTH
1472143OtherHIGHMARK BLUE SHIELD
50027069OtherCAPITAL BLUE CROSS
P00010947OtherRAILROAD MEDICARE
2155666000OtherINDEPENDENCE BLUE CROSS
2155666000OtherKEYSTONE HEALTH EAST
7452451OtherAETNA PPO
83150OtherGEISINGER HEALTH PLAN
9291125OtherPRIVATE HEALTHCARE SYSTEM
9824445OtherCIGNA HEALTHCARE
P00010947OtherRAILROAD MEDICARE
9824445OtherCIGNA HEALTHCARE