Individual
JAMES P MONDZELEWSKI
Active
Individual
JAMES P MONDZELEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD018438E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000093571
UNISON HEALTH PLAN
PA
05
—
0017383050001
—
PA
01
—
116161
AETNA
PA
01
—
1373927
UNITED MINE WORKERS
PA
01
—
180009454
RAILROAD MEDICARE
PA
01
—
7514
HEALTH AMERICA
PA
Enumeration date
06/15/2006
Last updated
09/03/2010
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