Individual
GARY WAYNE MENDESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
99 CONIFER HILL DR, DANVERS, MA 01923-1193
(978) 774-2555
(978) 774-8715
Mailing address
147 S MAIN ST, MIDDLETON, MA 01949-2446
(978) 774-2555
(978) 774-8715
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
240786
MA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
240786
MA
207NS0135X
Procedural Dermatology Physician
240786
MA
Other
Enumeration date
05/13/2008
Last updated
01/06/2026
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