Doctor Name: | MS. REBECCA MAZURIK-CHARLES |
NPI Number: | 1699198408 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSED |
License Number: | 09620562 |
Business Practice Address: | 1220 N Front St Apt 2 Milton, PA - 178479648 |
Business Phone Number: | 5705566954 |
Business Fax Number: | |
Mailing Address: | 1220 N Front St Apt 2, MILTON |
State: | PA |
Postal Code: | 178479648 |
Phone Number: | 5705566954 |
Fax Number: | |
NPI Enumeration Date: | 01/29/2014 |
NPI Last Update Date: | 01/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 09620562 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |