| Doctor Name: | DR. THOMAS FRANK MAZZONI |
| NPI Number: | 1629192463 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 501015425 |
| Business Practice Address: | 505 Chestnut St Roselle Park, NJ - 072041918 |
| Business Phone Number: | 9082410200 |
| Business Fax Number: | 9082411615 |
| Mailing Address: | 505 Chestnut St, ROSELLE PARK |
| State: | NJ |
| Postal Code: | 072041918 |
| Phone Number: | 9082410200 |
| Fax Number: | 9082411615 |
| NPI Enumeration Date: | 03/19/2007 |
| NPI Last Update Date: | 06/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207YX0905X |
| License Number: | 501015425 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Otolaryngology |
| Taxonomy Specialization: | Otolaryngology/Facial Plastic Surgery |
| Taxonomy Definition: | An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |