Individual
DR. MARK M MENENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
12100 BLACK SWAN DR STE 201, LEWES, DE 19958-4991
(302) 644-3311
(302) 644-3300
Mailing address
211 EXECUTIVE DR STE 11, NEWARK, DE 19702-3358
(302) 731-2888
(302) 731-7049
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E10000140
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001026317
—
DE
05
—
1000017150
—
DE
01
—
1184681488
COMMERCIAL
—
Enumeration date
06/23/2006
Last updated
09/27/2022
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