Individual
JONATHAN DAVID MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
19 DAVIS AVE, FL 6, NEPTUNE, NJ 07753-4488
(732) 897-2777
Mailing address
331 NEWMAN SPRINGS RD, BLDG 2, STE 220, ED BANK, NJ 07701-5688
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MB12587800
NJ
207R00000X
Internal Medicine Physician
OS18573
FL
207RG0100X
Gastroenterology Physician
Primary
25MB12587800
NJ
207RG0100X
Gastroenterology Physician
OS18573
FL
Other
Enumeration date
03/25/2019
Last updated
08/08/2025
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