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Individual

DR. JESSICA MENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
11 BISHOP PLACE, HURTADO HEALTH CENTER, NEW BRUNSWICK, NJ 08901
(843) 832-7402
(732) 932-8255
Mailing address
11 BISHOP PLACE, HURTADO HEALTH CENTER, NEW BRUNSWICK, NJ 08901
(848) 932-7402
(732) 932-8255

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2008-01417
NC
207Q00000X
Family Medicine Physician
Primary
25MB09954200
NJ

Other

Enumeration date
03/05/2007
Last updated
01/18/2017
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