Mondelli, John A

Mondelli, John A is an individual health care provider with primary practice located at 95 Madison Ave Suite 300, Morristown NJ 07960-6092. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Mondelli, John A can be contacted via phone (973) 898-0400.

Contact Information

Primary practice address
95 Madison Ave Suite 300 Morristown NJ 07960-6092
Fax: (973) 682-9494
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 25MA07482800 New Jersey

Profile Details

NPI number 1356340780
LBN Legal business name Mondelli, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Dec 28th, 2018 - about 6 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 1356340780 NPPES
New Jersey MEDICAID 0023493

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