Individual
DR. HUMBERTO GERARDO MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
267 GRANT STREET, MED ED PODIUM 4, BRIDGEPORT, CT 06610-0120
(203) 384-4442
Mailing address
267 GRANT STREET, MED ED PODIUM 4, BRIDGEPORT, CT 06610-0120
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/08/2015
Last updated
04/08/2024
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