Individual
MANUEL JACOBO MENDEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
235 MILLBURN AVE STE 101, MILLBURN, NJ 07041-1711
(973) 376-8034
Mailing address
235 MILLBURN AVE STE 101, MILLBURN, NJ 07041-1711
(973) 376-8034
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
25MA11106300
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/14/2016
Last updated
07/10/2023
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