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Organization
JORGE G. MENDEZ,MD. LLC
Active
Organization
JORGE G. MENDEZ,MD. LLC
Active
Other names
Ivy League Pain Management Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE G. MENDEZ MD (PRESIDENT)
(908) 255-6200
Entity
Organization
Contact information
Practice address
9 CRESTFIELD RD, BOONTON, NJ 07005-9007
(908) 255-6200
(973) 794-4261
Mailing address
9 CRESTFIELD RD, BOONTON, NJ 07005-9007
(908) 255-6200
(973) 794-4261
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25MA08542000
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
25MA08542000
NJ
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
Other
Enumeration date
12/08/2014
Last updated
03/13/2019
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