Mendoza, Jose L

Mendoza, Jose L is an individual health care provider with primary practice located at 8926 Woodyard Rd Suite 201, Clinton MD 20735-4220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Mendoza, Jose L can be contacted via phone (301) 868-7911.

Contact Information

Primary practice address
8926 Woodyard Rd Suite 201 Clinton MD 20735-4220
Phone: (301) 868-7911
Fax: (301) 868-2285
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X D0064153 Maryland

Profile Details

NPI number 1982648036
LBN Legal business name Mendoza, Jose L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated May 14th, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1982648036 NPPES
Other 1293056 AETNA HMO
Other 3154546 AETNA HMO
Other 88874602 AETNA HMO
Other 02810007 AETNA HMO
Other 88874601 AETNA HMO
Other 5258642 AETNA HMO
Other 3154546 AETNA HMO
MEDICAID 021213000 AETNA HMO
Other B6480006 AETNA HMO
MEDICAID 037955300 AETNA HMO

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