Provider Demographics
NPI:1265641070
Name:MENDELSON, JOSHUA TODD (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:TODD
Last Name:MENDELSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:107 MONMOUTH RD
Mailing Address - Street 2:SUIT 110
Mailing Address - City:WEST LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07764-1000
Mailing Address - Country:US
Mailing Address - Phone:732-935-1850
Mailing Address - Fax:732-544-0494
Practice Address - Street 1:107 MONMOUTH RD
Practice Address - Street 2:SUITE 110
Practice Address - City:WEST LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07764-1000
Practice Address - Country:US
Practice Address - Phone:732-935-1850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MT913672084N0400X
NH208122084N0400X
PAMD4762632084N0400X
GA619952084N0400X
FLME1459492084N0400X
MO20200373972084N0400X
PAMT1880772084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology