MEDICARE: DR. MARYLIN RODRIGUEZ MONAGAS DMD

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
1	390200000X	Student in an Organized Health Care Education/Training Program
2	122300000X	Dentist	22DI02888300	NJ

General Provider Information

NPI Number	:	1518541135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARYLIN RODRIGUEZ MONAGAS DMD

Provider Business Mailing Address
First Line	:	1765 SHEFFIELD DR
Second Line	:
City	:	MAYS LANDING
State	:	NJ
Zip	:	08330-3258
Country	:	US
Telephone Number	:	609-233-1783
Fax Number	:

Provider Business Practice Location Address
First Line	:	3003 ENGLISH CREEK AVE
Second Line	:
City	:	EGG HARBOR TWP
State	:	NJ
Zip	:	08234-4863
Country	:	US
Telephone Number	:	609-484-5996
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2021
Last Update Date	:	04/15/2022

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