Provider Demographics
NPI:1376697698
Name:MONDZELEWSKI, TODD JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:JOSEPH
Last Name:MONDZELEWSKI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:38400 BOB WILSON DRIVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92134-0001
Mailing Address - Country:US
Mailing Address - Phone:301-404-0019
Mailing Address - Fax:619-532-7272
Practice Address - Street 1:34800 BOB WILSON DR
Practice Address - Street 2:OPHTHALMOLOGY DEPARTMENT
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92134-1098
Practice Address - Country:US
Practice Address - Phone:619-532-6700
Practice Address - Fax:619-532-7272
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2023-12-20
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Provider Licenses
StateLicense IDTaxonomies
IN01059689A207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty