Individual
ALLAN ROQUE MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, SCS
Contact information
Practice address
140 BELMONT AVE, BELLEVILLE, NJ 07109-1018
(973) 751-9230
Mailing address
140 BELMONT AVE, BELLEVILLE, NJ 07109-1018
(973) 751-0230
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
40QA01338000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA01338000
PHYSICAL THERAPY
NJ
Enumeration date
01/15/2010
Last updated
08/08/2021
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