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Organization

LAWRENCE J MENDITTO DPM PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAWRENCE MENDITTO D.P.M. (PODIATRY)
(732) 531-4545
Entity
Organization

Contact information

Practice address
3200 SUNSET AVE STE 201, OCEAN, NJ 07712-4556
(732) 531-4545
(732) 869-1246
Mailing address
3200 SUNSET AVE STE 201, SUITE 201, OCEAN, NJ 07712-4556
(732) 531-4545
(732) 869-1246

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MD02106
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2271834000
AMERIHEALTH
NJ
05
6080006
NJ
Enumeration date
05/31/2007
Last updated
03/24/2026
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