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Individual

DR. JORGE A MONDINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6192 OXON HILL RD, SUITE 200, OXON HILL, MD 20745-3114
(301) 567-7200
(301) 567-2728
Mailing address
6192 OXON HILL RD, SUITE 200, OXON HILL, MD 20745-3114
(301) 567-2330
(301) 567-2728

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101032472
VA
207X00000X
Orthopaedic Surgery Physician
Primary
D0024059
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00643431
VA
Enumeration date
07/07/2005
Last updated
05/03/2011
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