Individual
JOSE L MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8926 WOODYARD RD, SUITE 201, CLINTON, MD 20735-4220
(301) 868-7911
(301) 868-2285
Mailing address
8926 WOODYARD RD, SUITE 201, CLINTON, MD 20735-4220
(301) 868-7911
(301) 868-2285
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
D0064153
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021213000
—
MD
01
—
02810007
BC/BS OF DC
DC
05
—
037955300
—
DC
01
—
1293056
AETNA HMO
—
01
—
3154546
MAMSI
—
01
—
5258642
CIGNA
—
01
—
88874601
BC/BS MD - CLINTON
MD
01
—
88874602
BC/BS MD - GREENBELT
MD
01
—
B6480006
BC/BS OF DC
DC
Enumeration date
06/16/2006
Last updated
05/14/2008
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