Individual
DR. CARLOS JAVIER MENCIAS VERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4453
(540) 741-2671
Mailing address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4453
(540) 741-2671
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101246303
VA
207R00000X
Internal Medicine Physician
249479
NY
Other
Enumeration date
12/12/2007
Last updated
10/25/2010
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