Individual
IRINI D MENTAKIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 BALDWIN AVE, JERSEY CITY, NJ 07304-3154
(201) 714-7903
Mailing address
PO BOX 334, WAYNE, NJ 07474-0334
(201) 804-2800
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA 38786
NJ
Other
Enumeration date
06/28/2005
Last updated
07/08/2007
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