IndividualActive
Augustus Mazzocca, MD
NPI 1902802903 · Sports Medicine (Orthopaedic Surgery) Physician · Farmington, CT
Provider details
- NPI number
- 1902802903
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 037674 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
263 Farmington Ave
Sports Medicine
Farmington, CT 06030-0001
Phone: (860) 679-6600
Fax: (860) 679-6604
Approximate (ZIP-level) locationGet directions
Mailing address
263 Farmington Ave
Farmington, CT 06030-2212
Additional practice locations (1)
- 55 Fruit StBoston, MA 02114-2696Phone: (508) 893-4510Fax: (617) 726-2085
Registry dates
- Enumerated
- 2005-06-23
- Last updated
- 2022-04-08
- Certified
- 2022-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.