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Individual
ROBERT WILLIAM MENDICINO
Active
Individual
ROBERT WILLIAM MENDICINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
SC003270L
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36.003654
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
567
NC
213ES0103X
Foot & Ankle Surgery Podiatrist
SC003270L
PA
213ES0131X
Foot Surgery Podiatrist
SC003270L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011607060006
—
PA
05
—
3026504
—
OH
Enumeration date
01/23/2006
Last updated
01/05/2022
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