Justo, Mona D

Justo, Mona D is an individual health care provider with primary practice located at 540 E 11Th St , Berwick PA 18603-2247. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Other Service Providers / Specialist is her primary health care specialty. Justo, Mona D can be contacted via phone (570) 752-6641.

Contact Information

Primary practice address
540 E 11Th St Berwick PA 18603-2247
Phone: (570) 752-6641
Fax: (570) 784-5730
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 20885 West Virginia

Profile Details

NPI number 1780661611
LBN Legal business name Justo, Mona D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Apr 12th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780661611 NPPES
West Virginia MEDICAID 2003463000

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