Individual
MR. NARCISO DIZON MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9 MULE ROAD, SUITE E5, TOMS RIVER, NJ 08755
(732) 240-3710
(732) 240-3783
Mailing address
9 MULE ROAD, SUITE E5, TOMS RIVER, NJ 08755
(732) 240-3710
(732) 240-3783
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
25MA03628600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0867403
—
NJ
01
—
DO60502
COS
NJ
01
—
MA36286
LICENSE #
NJ
Enumeration date
11/24/2006
Last updated
03/07/2023
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