Individual
TITO MONGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3RD AMBULATORY CARE CTR, 2211 LOMAS BLVD. NE, ALBUQUERQUE, NM 87131-0001
(505) 272-5551
Mailing address
2211 LOMAS BLVD NE, MSC19 5590, ALBUQUERQUE, NM 87131-0001
(505) 272-5551
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
2004-0637
NM
Other
Enumeration date
07/22/2006
Last updated
06/21/2013
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