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NPI Code Detail

MEDICARE: PROF. MARIA BIANCA MONDA APN

MEDICARE: PROF. MARIA BIANCA MONDA APN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner26NJ00192900NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
126NJ00192900OTHERNJCERT

General Provider Information

NPI Number : 1053555227
Entity Type Code : Individual
Provider Name (Legal Business Name) : PROF. MARIA BIANCA MONDA APN
Provider Business Mailing Address
First Line : 41 HOWARD AVE
Second Line :
City : ROCHELLE PARK
State : NJ
Zip : 07662-3522
Country : US
Telephone Number : 201-368-3480
Fax Number :
Provider Business Practice Location Address
First Line : 288 BOULEVARD
Second Line :
City : HASBROUCK HEIGHTS
State : NJ
Zip : 07604-1319
Country : US
Telephone Number : 201-288-6781
Fax Number : 201-288-2734
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2009
Last Update Date : 05/14/2019

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