Doctor Name: | DR. OSCAR CORTEZ MENDEZ |
NPI Number: | 1841639846 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | D0037901 |
Business Practice Address: | 4600 Wilkens Ave Suite 106 Baltimore, MD - 212294843 |
Business Phone Number: | 4102479980 |
Business Fax Number: | 4102479982 |
Mailing Address: | 4600 Wilkens Ave, Suite 106 BALTIMORE |
State: | MD |
Postal Code: | 212294843 |
Phone Number: | 4102479980 |
Fax Number: | 4102479982 |
NPI Enumeration Date: | 06/24/2013 |
NPI Last Update Date: | 06/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | D0037901 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |