Sebastian Mendoza

NPI 1821523754 · on the registry since 2017

Practice

Address: 447 Route 10 E Ste 5
Randolph, NJ 07869
Phone: (973) 328-1555
Organisation at this address: Kishwar Shareef Md Pc
Randolph Center For Oral And Maxillofacial Surgery, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 1223S0112X
1223S0112X
Licence states on file: NJ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-08-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey