| NPI | 1174951198 |
|---|---|
| Former Legal Business Name | JOHN V MENDOLA MD LLC |
| Entity Type | Organization |
| Authorized Contact | JOHN VINCENT MENDOLA Md 201-709-3586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME 117536) |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2013-10-30 |