Individual
IVAN ALEXIS MARCHENA- MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
292 SAINT CHARLES WAY, YORK, PA 17402-4648
(717) 851-6236
(717) 741-1614
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT196471
PA
207RR0500X
Rheumatology Physician
Primary
0101258527
VA
207RR0500X
Rheumatology Physician
MD449575
PA
Other
Enumeration date
07/13/2010
Last updated
05/07/2024
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