NPI 1073536710 DR. NICHOLAS MONGILLO M.D. STRATFORD CT. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. Nicholas Mongillo - NPI: 1073536710

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. NICHOLAS MONGILLO
NPI Number: 1073536710
Entity Type Code: Individual (1)
Gender: M
Credentials: M.D.
License Number: 030893
Business Practice Address: 7365 Main St
Stratford, CT - 066141300
Business Phone Number: 2033819990
Business Fax Number: 2033780437
Mailing Address: 7365 Main St,
STRATFORD
State: CT
Postal Code: 066141300
Phone Number: 2033819990
Fax Number: 2033780437
NPI Enumeration Date: 07/25/2006
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 2080A0000X
License Number: 030893
Healthcare Provider Taxonomy:
(Secondary)
Y
State: CT
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: Pediatrics
Taxonomy Specialization: Adolescent Medicine
Taxonomy Definition:
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


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