Organization
GOUT INSTITUTE OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE G. MENDEZ M.D. (OWNER)
(973) 450-1600
Entity
Organization
Contact information
Practice address
727 JORALEMON ST., BELLEVILLE, NJ 07109
(973) 450-1600
(973) 450-1600
Mailing address
727 JORALEMON STREET, BELLEVILLE, NJ 07109
(973) 450-1600
(973) 450-1602
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
25MA08542000
NJ
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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