Individual
DR. MICHAEL J. MENTAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
357 W SADDLE RIVER RD, U SADDLE RIV, NJ 07458-1617
(201) 327-2248
(201) 327-3510
Mailing address
260 COCHITUATE RD, FRAMINGHAM, MA 01701
(508) 628-9660
(508) 628-9668
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
218305
MA
207RC0000X
Cardiovascular Disease Physician
218305
MA
Other
Enumeration date
11/04/2005
Last updated
08/02/2017
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