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Individual

ARTEMIO JOHN CARAVANA MENDOZA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 742-7025
(603) 742-7053
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 742-7025
(603) 742-7053

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
11925
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1235211558
ME
05
3076128
NH
01
P00167496
RAILROAD MEDICARE
NH
Enumeration date
10/19/2006
Last updated
02/25/2014
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