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Organization
GOUT INSTITUTE OF AMERICA LLC
Active
Organization
GOUT INSTITUTE OF AMERICA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE G MENDEZ MD (MANAGER)
(908) 255-6200
Entity
Organization
Contact information
Practice address
727 JORALEMON ST, BELLEVILLE, NJ 07109-1455
(973) 450-1600
Mailing address
727 JORALEMON ST, BELLEVILLE, NJ 07109-1455
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
25MA08542000
NJ
Other
Enumeration date
06/08/2017
Last updated
06/08/2017
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