Doctor Name: | PROF. MARIA BIANCA MONDA |
NPI Number: | 1053555227 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | 26NO07494700 |
Business Practice Address: | 288 Boulevard Hasbrouck Heights, NJ - 076041318 |
Business Phone Number: | 2012886781 |
Business Fax Number: | |
Mailing Address: | 41 Howard Ave, ROCHELLE PARK |
State: | NJ |
Postal Code: | 076623522 |
Phone Number: | 2013683480 |
Fax Number: | |
NPI Enumeration Date: | 04/30/2009 |
NPI Last Update Date: | 06/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 26NO07494700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |