Individual
DR. PETER J MENCEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1707 ATLANTIC AVE, MANASQUAN, NJ 08736-1147
(732) 528-0760
(732) 528-0764
Mailing address
1707 ATLANTIC AVE, MANASQUAN, NJ 08736-1147
(732) 528-0760
(732) 528-0764
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
25MA05491800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5643406
—
NJ
Enumeration date
11/17/2005
Last updated
06/29/2010
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