Individual
MR. JOSEPH VIRGILIO MENDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, RRT
Contact information
Practice address
800 HOWARD AVE, OTOLARYNGOLOGY 4TH FLOOR YALE PHYSICIAN BLDG, NEW HAVEN, CT 06519-1369
(203) 785-3668
Mailing address
30 SHADY HILL LN, MIDDLETOWN, CT 06457-1786
(860) 632-1215
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
001331
CT
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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