Individual
JASON MENDELSOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4 HUNTER ST STE 206, LODI, NJ 07644-1608
(973) 473-3896
(973) 473-4806
Mailing address
7 DRUID HILL DRIVE, PARSIPPANY, NJ 07054
(973) 738-7466
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA10941400
NJ
Other
Enumeration date
03/23/2018
Last updated
08/06/2021
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