Individual
JOSE LINO MONDEJAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
303 GRAND ST, JERSEY CITY, NJ 07302-4317
(201) 890-2225
Mailing address
144 RUTGERS ST, BELLEVILLE, NJ 07109-2538
(201) 388-0681
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ14917500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0972673
—
NJ
Enumeration date
12/29/2023
Last updated
02/12/2024
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