Individual provider · Type 1 NPI
Nicholas Mongillo, MD
Pediatric Adolescent Medicine Physician · Shelton, CT
NPI number
1073536710
Active
Practice location
25 Constitution Blvd. So
Shelton, CT 06484-4351
Fax (203) 922-0004
Mailing address
25 Constitution Blvd S
Shelton, CT 06484-4351
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Adolescent Medicine Physician Primary | 2080A0000X | 030893 (CT) |
Pediatric Adolescent Medicine Physician: A pediatrician who 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.
2 other providers at this address
Other pediatric adolescent medicine physician providers in Shelton
- Karen LaugelPediatric Adolescent Medicine Physician Shelton, CT NPI 1275553505
- Christa Johnson, MDPediatric Adolescent Medicine Physician Shelton, CT NPI 1356364012
- Fadi Mohamad Hammoud, MDPediatric Adolescent Medicine Physician Shelton, CT NPI 1518038454
- Melanie Georgalas, MDPediatric Adolescent Medicine Physician Shelton, CT NPI 1740200088
- Michelle Rivelli, MDPediatric Adolescent Medicine Physician Shelton, CT NPI 1992725253
About NPI 1073536710
Nicholas Mongillo, MD's National Provider Identifier is 1073536710, issued on Jul 25, 2006. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Shelton, CT. The record was last updated on Jan 6, 2017.