Most Relevant Information
Provider Data
NPI Number: | 1003023557 |
Provider Name: | DENISE MONGIELLO LPN |
Entity Type: | Individual |
Taxonomy Code: | 164W00000X |
Specialty: | Licensed Practical Nurse |
License Number: | 26NP04893200 |
Most Important Dates
Enumeration Date: | 05/16/2007 |
Last Updated: | 07/08/2007 |
Provider Practice Location
261 CONNECTICUT DR
SUITE 5
BURLINGTON
NJ
080164177
Practice Location Phone/Fax
Phone: | 8009506066 |
Fax: |
Provider Mailing Location
39 HIGH ST
NEW PROVIDENCE
NJ
079741517
Provider Mailing Phone/Fax
Phone: | 9082194510 |
Fax: |