Individual
JOHN MESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 S ORANGE AVE STE 255, LIVINGSTON, NJ 07039
(973) 486-4862
(973) 255-2799
Mailing address
200 S ORANGE AVE STE 255, LIVINGSTON, NJ 07039-5817
(973) 486-4862
(973) 255-2799
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
25MA09198500
NJ
2086S0122X
Plastic and Reconstructive Surgery Physician
5315047086
MI
2086S0122X
Plastic and Reconstructive Surgery Physician
MD.30946
AL
2086S0122X
Plastic and Reconstructive Surgery Physician
MD437737
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03781821
—
MS
01
—
051117726
BCBS
AL
01
—
051117727
BCBS
AL
01
—
051117728
BCBS
AL
01
—
051117729
BCBS
AL
01
—
051117730
BCBS
AL
05
—
129547
—
AL
05
—
129548
—
AL
05
—
129551
—
AL
05
—
129553
—
AL
05
—
129555
—
AL
Enumeration date
11/02/2006
Last updated
07/11/2018
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