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General NPI Number Information
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NPI Number | 1720088958
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Entity Type | Individual
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Provider Name | JOLINDA MESTER MD
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Gender | Female
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Dates
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Enumeration Date | 07/29/2005
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Last Update Date | 05/09/2022
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Provider Practice Location Address
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Address Line | 1 SEYMOUR ST
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City | MONTCLAIR
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State | NJ
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Zip | 07042-3771
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Country | US
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Telephone | 908-277-8673
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Fax | 862-702-5800
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Provider Business Mailing Address
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Address Line | 368 EAST GLEN AVENUE
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City | RIDGEWOOD
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State | NJ
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Zip | 07450
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Country | US
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Telephone | 551-206-2303
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 183268
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 25MA07788600
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License Number State | NJ
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