| Doctor Name: | WENDY B. MAZURSKY |
| NPI Number: | 1255425583 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C, MS |
| License Number: | 1953 |
| Business Practice Address: | 500 Alfred Nobel Dr #245 Hercules, CA - 94547 |
| Business Phone Number: | 5107417418 |
| Business Fax Number: | |
| Mailing Address: | 500 Alfred Nobel Dr, #245 HERCULES |
| State: | CA |
| Postal Code: | 94547 |
| Phone Number: | 3034937000 |
| Fax Number: | |
| NPI Enumeration Date: | 10/03/2006 |
| NPI Last Update Date: | 08/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 1953 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |