Dr. Nicholas Mongillo
M.D. | Pediatric Adolescent Medicine | Male
Dr. Nicholas Mongillo, M.D. is a Shelton, Connecticut based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Nicholas Mongillo is
25 Constitution Blvd. So, Shelton, Connecticut - 06484-4351. He can be contacted on phone at
203-924-7334 and fax number 203-922-0004.
Dr. Nicholas Mongillo is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Nicholas Mongillo is
1073536710 which was assigned by NPPES on 25 Jul, 2006 and it was last updated on 06 Jan, 2017.
Dr. Nicholas Mongillo license number is
030893 for Pediatrics Adolescent Medicine (2080A0000X) in Connecticut.
Dr. Nicholas Mongillo specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Nicholas Mongillo basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Nicholas Mongillo |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Nicholas Mongillo address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 25 Constitution Blvd. So
Shelton, CT, 06484-4351
United States |
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| Phone Number : | 203-924-7334 |
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| Fax Number : | 203-922-0004 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1073536710 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 25 Jul, 2006 |
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| Last Updated On : | 06 Jan, 2017 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Nicholas Mongillo are as mentioned. Primary taxonomy code for Dr. Nicholas Mongillo, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 030893 | CT |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 25 Constitution Blvd S
Shelton, CT, 06484-4351
United States |
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| Phone Number : | 203-924-7334 |
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| Fax Number : | 203-922-0004 |
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Business Location:
Patients can refer following map for directions to
Dr. Nicholas Mongillo practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.