Mungovan, John A

Mungovan, John A is an individual health care provider with primary practice located at 363 Highland Ave Radiology Department, Fall River MA 02720-3703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Mungovan, John A can be contacted via phone (508) 677-9729.

Contact Information

Primary practice address
363 Highland Ave Radiology Department Fall River MA 02720-3703
Phone: (508) 677-9729
Fax: (508) 679-4728
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 150247 Massachusetts

Profile Details

NPI number 1245279975
LBN Legal business name Mungovan, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jul 8th, 2007 - about 17 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 1245279975 NPPES
Massachusetts MEDICAID 3150909
Massachusetts MEDICAID JM16469

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