Individual provider · Type 1 NPI
Phuong Mazza
Federally Qualified Health Center (FQHC) · Springfield, MA
NPI number
1104720366
Active
Practice location
1049 Main St
Springfield, MA 01103-2114
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | RN2354588 (MA) |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1104720366
Phuong Mazza's National Provider Identifier is 1104720366, issued on Oct 2, 2026. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Springfield, MA. The record was last updated on Oct 2, 2026.