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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