DANIEL MAZZAFERRO


Address: 3400 Civic Center Blvd Fl Tower14, Philadelphia, PA 19104
Phone: 2156627659

DANIEL MAZZAFERRO (NPI# 1871097758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871097758
Entity Type Individual
Full Name DANIEL MAZZAFERRO
Practice Address 3400 Civic Center Blvd Fl Tower14
Philadelphia
PA 19104
Mailing Address 75 Hampshire Ct
Cheshire
CT 06410-4308
Practice Telephone 2156627659
Mailing Telephone 2034942369
Enumeration Date 2018-03-23
Last Update Date 2018-07-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208200000X Plastic Surgery MT216127 PA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
PA MT216127 05

Office Location

Street Address 3400 CIVIC CENTER BLVD FL TOWER14
City PHILADELPHIA
State PA
Zip Code 19104

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841518776 Said Charbel Azoury Surgery 3400 Civic Center Blvd Fl Tower14, Philadelphia, PA 19104-5127 2010-05-17
1811335771 Laura Sestokas Humphries Plastic Surgery 3400 Civic Center Blvd Fl Tower14, Philadelphia, PA 19104-5127 2013-06-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639770829 Michelle Morris Student in an Organized Health Care Education/Training Program Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 2020-11-04
1346853041 Spectrum Health Services, Inc. Clinic/Center 1415 South University Ave, Philadelphia, PA 19104 2020-08-24
1770104259 Fatimah Sorefan-mangou Student in an Organized Health Care Education/Training Program 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1114548690 Rebecca Blaguski Registered Nurse The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1952944175 Rebecca Miriam Barmherzig Psychiatry & Neurology 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 2019-10-21
1891257101 James Paul Byrne Surgery Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 2019-04-04
1093276453 Lauren Shreve Student in an Organized Health Care Education/Training Program Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 2019-03-28
1285194282 Lauren M Christie Student in an Organized Health Care Education/Training Program Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 2019-03-25
1114487683 Sabrina Layne Student in an Organized Health Care Education/Training Program 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 2019-03-21
1811457310 Kia Lor Student in an Organized Health Care Education/Training Program Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 2019-03-21
Find all providers in zip 19104

Taxonomy Information

Taxonomy Code 208200000X
Grouping Allopathic & Osteopathic Physicians
Classification Plastic Surgery

Taxonomy Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295116473 Shagun Aggarwal Plastic Surgery 3400 Civic Center Blvd Fl 7, Division of Plastic Surgery, University of Pennsylvania, Philadelphia, PA 19104-5163 2015-06-14
1518385004 Khang Trong Nguyen Plastic Surgery 3400 Civic Center Blvd Fl 14, Philadelphia, PA 19104-5127 2014-04-01
1255696415 Richard Hieu Trung Huynh Plastic Surgery 4190 City Ave Ste 409, Philadelphia, PA 19131-1629 2012-07-12
1821382029 Christine Marie Jones Plastic Surgery 3401 N Broad St Fl 4, Philadelphia, PA 19140-5189 2011-06-06
1962652198 David Anthony Ehrlich Plastic Surgery 1601 Walnut St Ste 208, Philadelphia, PA 19102-2902 2008-09-24
1568006963 Stc Pediatrics LLC Plastic Surgery 160 E Erie Ave, Philadelphia, PA 19134-1011 2019-10-30
1033693718 Revolution Ps, P.C. Plastic Surgery 1601 Walnut St Ste 208, Philadelphia, PA 19102-2902 2018-09-19
1861975542 Temple Faculty Practice Plan, Inc Plastic Surgery 3401 N Broad St, Philadelphia, PA 19140-5103 2018-09-10
1316314388 Ibrahim Karaca Basaran Plastic Surgery 333 Cottman Ave, Philadelphia, PA 19111-2434 2015-08-26
1932597416 Ornela Ajet Dervishaj Plastic Surgery 3401 N Broad St, Philadelphia, PA 19140 2015-01-06
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19104

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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