Organization
JORGE G. MENDEZ,MD. LLC
Active
Other names
Ivy League Pain Management Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE G. MENDEZ MD (PRESIDENT)
(908) 255-6200
Entity
Organization
Contact information
Practice address
9 CRESTFIELD RD, BOONTON, NJ 07005-9007
(908) 255-6200
(973) 794-4261
Mailing address
9 CRESTFIELD RD, BOONTON, NJ 07005-9007
(908) 255-6200
(973) 794-4261
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25MA08542000
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
25MA08542000
NJ
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
12/08/2014
Last updated
03/13/2019
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