Doctor Name: | DR. JOHN PATRICK MONGAN |
NPI Number: | 1134235765 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 248746 |
Business Practice Address: | 6 Medical Park Dr Suite 200 Malta, NY - 120205051 |
Business Phone Number: | 5182892717 |
Business Fax Number: | 5188865247 |
Mailing Address: | Po Box 1368, ALBANY |
State: | NY |
Postal Code: | 122011368 |
Phone Number: | 5182892717 |
Fax Number: | 5188865247 |
NPI Enumeration Date: | 08/23/2006 |
NPI Last Update Date: | 11/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RH0003X |
License Number: | 248746 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Hematology & Oncology |
Taxonomy Definition: | An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |