Whalio Doctors

NPI 1093120388

Nelson Mendes, DO

Practitioner Family Medicine Physician Pawtucket, RI

Practice location

Address
381 Pawtucket Ave, Pawtucket, RI 02860-5145
Phone
(401) 965-4382
Mailing address
327 Beach 19th St Dept Family Practice, Far Rockaway, NY 11691-4423

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 274558-1 (NY)

Registry record

NPI
1093120388
Entity type
Individual
Sex (as registered)
Male
NPI issued
25 Jun 2014
Record last updated
25 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.