Nicholas Mongillo M.D.

NPI 1073536710 - Pediatrics - 2080A0000X

NPI Details
NPI 1073536710
Gender Male
Enumeration Date 07/25/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
7365 MAIN ST
STRATFORD CT, 06614-1300, US
Phone (203) 381-9990
Fax (203) 378-0437
Business Location
7365 MAIN ST
STRATFORD CT, 06614-1300, US
Phone (203) 381-9990
Fax (203) 378-0437
Toxanomy
Taxonomy Code 2080A0000X
License State Connecticut
License Number 030893
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According to our database, Dr. Nicholas Mongillo M.D. NPI is 1073536710, taxonomy code is 2080A0000X and license number is 030893, license state is located at Connecticut. Nicholas Mongillo M.D. physically located at 7365 Main St, Stratford CT, 06614-1300. NPI Number Nicholas Mongillo M.D. has the Individual type.

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1073536710 NPI number is provided on an as is basis without warranty of any kind. 1073536710 is maintained by the National Plan & Provider Enumeration System. The contents of Nicholas Mongillo M.D. are for informational purposes only.