# DR. JORGE A MONDINO

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

## Provider details

- **NPI number:** 1770580680
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 0101032472 | VA | — |
| 207X00000X | Orthopaedic Surgery Physician | D0024059 | MD | Yes |

## Other

- **Enumeration date:** 07/07/2005
- **Last updated:** 05/03/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00643431 | — | VA |