Individual
DR. ERNESTO M MENDOZA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
826 WASHINGTON RD, SUITE 120, WESTMINSTER, MD 21157-5750
(410) 848-2444
(410) 857-1634
Mailing address
PO BOX 900, WESTMINSTER, MD 21158-0900
(410) 848-2444
(410) 857-1634
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0050763
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
357560800
—
MD
Enumeration date
05/16/2006
Last updated
01/22/2013
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