Dr. Philip A. Mongelluzzo, Jr. Llc

LBN: Dr. Philip A. Mongelluzzo, Jr. Llc
Dr. Philip A. Mongelluzzo, Jr. Llc is an health care organization with primary practice located at 2247 East Main Street , Waterbury CT 06705. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Dr. Philip A. Mongelluzzo, Jr. Llc can be contacted via phone (203) 757-3486, or through Mongelluzzo, Philip A. via phone (203) 757-3486.

Contact Information

Primary practice address
2247 East Main Street Waterbury CT 06705
Phone: (203) 757-3486
Fax: (203) 757-4376
Website:
Map and Directions
Authorized official contact:
Name: Mongelluzzo, Philip A. Doctor of Medicine (MD)
Phone: (203) 757-3486

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1275627093
LBN Legal business name Dr. Philip A. Mongelluzzo, Jr. Llc
DBA Doing business as
Authorized official Mongelluzzo, Philip A. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Jun 13th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275627093 NPPES
Connecticut MEDICAID 004245272

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