Mendoza, Jesus Alberto

Mendoza, Jesus Alberto is an individual health care provider with primary practice located at 141 Broughton Ave , Bloomfield NJ 07003-3930. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Mendoza, Jesus Alberto can be contacted via phone (862) 333-8800.

Contact Information

Primary practice address
141 Broughton Ave Bloomfield NJ 07003-3930
Phone: (862) 333-8800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X M25164016101012 New Jersey

Profile Details

NPI number 1639768203
LBN Legal business name Mendoza, Jesus Alberto
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2021
Last updated Jan 18th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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