Individual
DR. MATTHEW FRANK MENDILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
17 N MAIN ST, MARLBORO, NJ 07746-1439
(732) 431-2155
Mailing address
17 N MAIN ST, MARLBORO, NJ 07746-1439
(732) 431-2155
(732) 431-2889
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3653
SC
111N00000X
Chiropractor
Primary
38MC00723600
NJ
111N00000X
Chiropractor
DCP00559
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3653
SC LICENSE NUMBER
SC
01
—
38MC00723600
NJ LICENSE NUMBER
NJ
01
—
DCP00559
R.I. LICENSE NUMBER
RI
Enumeration date
09/09/2007
Last updated
09/29/2017
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