Mongillo, Nicholas

Mongillo, Nicholas is an individual health care provider with primary practice located at 25 Constitution Blvd. So , Shelton CT 06484-4351. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Mongillo, Nicholas can be contacted via phone (203) 924-7334.

Contact Information

Primary practice address
25 Constitution Blvd. So Shelton CT 06484-4351
Fax: (203) 922-0004
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 030893 Connecticut

Profile Details

NPI number 1073536710
LBN Legal business name Mongillo, Nicholas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jan 6th, 2017 - about 8 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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