31D0111375 CLIA NUMBER - ALEXANDER MAZZIOTTI MD

Laboratory Demographics

CLIA Number: 31D0111375

Facility Name: ALEXANDER MAZZIOTTI MD

Facility Address:
268 LINCOLN AVE
HAWTHORNE, NJ
ZIP 07506
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Facility Phone Number: 973 423-3335

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1902996283

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 31D0111375
LAB Type Physician Office
Facility Name ALEXANDER MAZZIOTTI MD
Street 268 LINCOLN AVE
City HAWTHORNE
State NJ
ZIP 07506
Phone 973 423-3335
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024