Rosenio R Medenilla M.D.

NPI 1699857011 - Family Medicine - 207Q00000X

NPI Details
NPI 1699857011
Gender Male
Enumeration Date 10/19/2006
Last Updated 05/20/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
1301 ROUTE 72 W
SUITE 240
MANAHAWKIN NJ, 08050-2417, US
Phone (609) 597-7394
Fax (609) 597-6833
Business Location
1301 ROUTE 72 W
SUITE 240
MANAHAWKIN NJ, 08050-2417, US
Phone (609) 597-7394
Fax (609) 597-6833
Toxanomy
Taxonomy Code 207Q00000X
License State New Jersey
License Number MA67504
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According to our database, Rosenio R Medenilla M.D. NPI is 1699857011, taxonomy code is 207Q00000X and license number is MA67504, license state is located at New Jersey. Rosenio R Medenilla M.D. physically located at 1301 Route 72 W, Manahawkin NJ, 08050-2417. NPI Number Rosenio R Medenilla M.D. has the Individual type.

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1699857011 NPI number is provided on an as is basis without warranty of any kind. 1699857011 is maintained by the National Plan & Provider Enumeration System. The contents of Rosenio R Medenilla M.D. are for informational purposes only.