Provider Demographics
NPI:1043287378
Name:MAZJ, SAM (MD)
Entity Type:Individual
Prefix:DR
First Name:SAM
Middle Name:
Last Name:MAZJ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:265 COHASSET RD
Mailing Address - Street 2:SUITE 170
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-2273
Mailing Address - Country:US
Mailing Address - Phone:530-893-2323
Mailing Address - Fax:530-894-0935
Practice Address - Street 1:265 COHASSET RD
Practice Address - Street 2:SUITE 170
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-2273
Practice Address - Country:US
Practice Address - Phone:530-893-2323
Practice Address - Fax:530-894-0935
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-06
Last Update Date:2009-01-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA86201207R00000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine