Individual
DR. IRIS ROBIN MENTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, FACC
Contact information
Practice address
901 W MAIN ST STE 205, FREEHOLD, NJ 07728-2537
(732) 866-0800
(732) 463-6082
Mailing address
901 W MAIN ST STE 205, FREEHOLD, NJ 07728-2537
(732) 866-0800
(732) 463-6082
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA06445500
NJ
207UN0901X
Nuclear Cardiology Physician
25MA06445500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047213
MEDICARE
NJ
05
—
7556403
—
NJ
Enumeration date
05/26/2006
Last updated
05/02/2024
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