Organization
IVY LEAGUE ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE G MENDEZ MD (MEMBER)
(908) 255-6200
Entity
Organization
Contact information
Practice address
600 MOUNT PLEASANT AVE STE E, DOVER, NJ 07801-1630
(908) 255-6200
Mailing address
600 MOUNT PLEASANT AVE STE E, DOVER, NJ 07801-1630
(908) 255-6200
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
Other
Enumeration date
06/01/2017
Last updated
07/21/2022
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