Individual
DR. MARIO MENENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
112 N LAFAYETTE AVE, VENTNOR CITY, NJ 08406-1907
(786) 253-8687
Mailing address
112 N LAFAYETTE AVE, VENTNOR CITY, NJ 08406-1907
(786) 253-8687
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
P09-00504
NJ
Other
Enumeration date
05/11/2011
Last updated
05/11/2011
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