Provider Demographics
NPI:1083018907
Name:CONTIN MENDOZA, OSCARINA (MD)
Entity Type:Individual
Prefix:
First Name:OSCARINA
Middle Name:
Last Name:CONTIN MENDOZA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1791 WALTON AVE
Mailing Address - Street 2:APTO 2 G
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10453-8138
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:20 PROSPECT AVE STE 805
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-1974
Practice Address - Country:US
Practice Address - Phone:201-968-1800
Practice Address - Fax:201-869-6944
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-21
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA10086500207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty