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Organization

MESINA PEDIATRICS,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEON B. MESINA M.D. (PRESIDENT)
(732) 679-0400
Entity
Organization

Contact information

Practice address
2477 ROUTE 516, SUITE 202, OLD BRIDGE, NJ 08857-4603
(732) 679-0400
(732) 679-0445
Mailing address
2477 ROUTE 516, SUITE 202, OLD BRIDGE, NJ 08857-4603
(732) 679-0400
(732) 679-0445

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6186301
NJ
01
F99158
UPIN
NJ
01
ME620438
MEDICARE
NJ
Enumeration date
07/28/2009
Last updated
09/15/2010
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