IndividualActive
Mark Menendez, D.P.M.
NPI 1619903556 · Podiatrist · Lewes, DE
Provider details
- NPI number
- 1619903556
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- Yes
- License
- E10000140 (DE)
Practice location
12100 Black Swan Dr Ste 201
Lewes, DE 19958-4991
Phone: (302) 644-3311
Fax: (302) 644-3300
Mailing address
211 Executive Dr Ste 11
Newark, DE 19702-3358
Registry dates
- Enumerated
- 2006-06-23
- Last updated
- 2022-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.