Individual
MARIA MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
235 N BROAD ST, SUITE 200 CLINICAL NEPHROLOGY ASSOC, PHILADELPHIA, PA 19107-1511
(215) 762-7785
(215) 568-6007
Mailing address
235 N BROAD ST, SUITE 200, PHILADELPHIA, PA 19107-1511
(215) 762-7785
(215) 568-6007
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
25MA06001600
NJ
207RN0300X
Nephrology Physician
Primary
MD031178E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001048340
—
PA
Enumeration date
10/05/2006
Last updated
09/21/2010
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