Individual
LUIS A MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
289 MONROE ST, PASSAIC, NJ 07055-5209
(973) 473-5151
(973) 473-3331
Mailing address
PO BOX 1758, CLIFTON, NJ 07015-1758
(973) 473-5151
(973) 473-3331
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA02404700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0365301
—
NJ
Enumeration date
11/28/2005
Last updated
07/25/2013
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