Doctor Name: | FRANK MONGIELLO |
NPI Number: | 1093051922 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | M64042670010592 |
Business Practice Address: | 256 Old York Rd Bridgewater, NJ - 088072676 |
Business Phone Number: | 9089300014 |
Business Fax Number: | |
Mailing Address: | 256 Old York Rd, BRIDGEWATER |
State: | NJ |
Postal Code: | 08807 |
Phone Number: | 9089300014 |
Fax Number: | |
NPI Enumeration Date: | 12/21/2012 |
NPI Last Update Date: | 12/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 146N00000X |
License Number: | M64042670010592 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Emergency Medical Service Providers |
Taxonomy Classification: | Emergency Medical Technician, Basic |
Taxonomy Specialization: | |
Taxonomy Definition: | A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |