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Individual

DR. LAWRENCE J MENDITTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
3200 SUNSET AVE STE 201, OCEAN, NJ 07712-4556
(732) 531-4545
Mailing address
3200 SUNSET AVE STE 201, OCEAN, NJ 07712-4556
(732) 531-4545

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
MD02106
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00146648
RRB
NJ
Enumeration date
02/23/2006
Last updated
02/20/2013
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