# ROBERT WILLIAM MENDICINO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1578533667
- **Gender:** Man
- **Credential:** D.P.M.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | SC003270L | PA | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 36.003654 | OH | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 567 | NC | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | SC003270L | PA | — |
| 213ES0131X | Foot Surgery Podiatrist | SC003270L | PA | — |

## Other

- **Enumeration date:** 01/23/2006
- **Last updated:** 01/05/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0011607060006 | — | PA |
| 05 | — | 3026504 | — | OH |