| Doctor Name: | SHILPA MONGA |
| NPI Number: | 1528358090 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 248838 |
| Business Practice Address: | 61 N Main St Charlton, MA - 015071315 |
| Business Phone Number: | 5087655981 |
| Business Fax Number: | 5087644637 |
| Mailing Address: | Po Box 40, SOUTHBRIDGE |
| State: | MA |
| Postal Code: | 015500040 |
| Phone Number: | 5089097799 |
| Fax Number: | 5087642432 |
| NPI Enumeration Date: | 04/18/2011 |
| NPI Last Update Date: | 10/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 248838 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |