Mondino, Jorge A

Mondino, Jorge A is an individual health care provider with primary practice located at 6192 Oxon Hill Rd Suite 200, Oxon Hill MD 20745-3114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mondino, Jorge A can be contacted via phone (301) 567-7200.

Contact Information

Primary practice address
6192 Oxon Hill Rd Suite 200 Oxon Hill MD 20745-3114
Phone: (301) 567-7200
Fax: (301) 567-2728
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X D0024059 Maryland
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0101032472 Virginia

Profile Details

NPI number 1770580680
LBN Legal business name Mondino, Jorge A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated May 3rd, 2011 - about 14 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 1770580680 NPPES
Virginia MEDICAID 00643431

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