| Doctor Name: | DIANE MAZEY |
| NPI Number: | 1316118755 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 1 Tree Farm Rd Merle Norman Pennington, NJ - 085341463 |
| Business Phone Number: | 6097308700 |
| Business Fax Number: | 6097308704 |
| Mailing Address: | 1 Tree Farm Rd, Merle Norman PENNINGTON |
| State: | NJ |
| Postal Code: | 085341463 |
| Phone Number: | 6097308700 |
| Fax Number: | 6097308704 |
| NPI Enumeration Date: | 03/13/2008 |
| NPI Last Update Date: | 03/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1744P3200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | Prosthetics Case Management |
| Taxonomy Definition: | |