Organization
JORGE A MONDINO, M. D., P.C.
Active
Other names
Jorge A Mondino, M.D., P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE A MONDINO M.D. (OWNER)
(301) 567-2330
Entity
Organization
Contact information
Practice address
6192 OXON HILL RD, SUITE 200, OXON HILL, MD 20745-3114
(301) 567-2330
(301) 839-0828
Mailing address
6192 OXON HILL RD, SUITE 200, OXON HILL, MD 20745-3114
(301) 567-2330
(301) 839-0828
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
D0024059
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00643431
—
VA
Enumeration date
03/26/2007
Last updated
05/03/2011
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