Individual
JOSE A MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 829-4000
Mailing address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 829-4000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
25MA06122800
NJ
207V00000X
Obstetrics & Gynecology Physician
Primary
MD453476
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6978304
—
NJ
Enumeration date
08/29/2006
Last updated
04/15/2015
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