Provider Demographics
NPI:1437185501
Name:MENDEZ, HEDLEY N III (MD)
Entity Type:Individual
Prefix:DR
First Name:HEDLEY
Middle Name:N
Last Name:MENDEZ
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:7 BREEZY POINT RD
Mailing Address - Street 2:
Mailing Address - City:POQUOSON
Mailing Address - State:VA
Mailing Address - Zip Code:23662-1119
Mailing Address - Country:US
Mailing Address - Phone:757-868-8622
Mailing Address - Fax:757-868-8622
Practice Address - Street 1:7 BREEZY POINT RD
Practice Address - Street 2:
Practice Address - City:POQUOSON
Practice Address - State:VA
Practice Address - Zip Code:23662-1119
Practice Address - Country:US
Practice Address - Phone:757-868-8622
Practice Address - Fax:757-868-8622
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC98009688207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
B10318Medicare UPIN