Organization
DR ELLEN M MONGAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN MARIE MONGAN MD (PRESIDENT)
(410) 929-4617
Entity
Organization
Contact information
Practice address
6701 N CHARLES ST STE 4104, BALTIMORE, MD 21204-6808
(410) 929-4617
Mailing address
PO BOX 5391, BALTIMORE, MD 21209-0391
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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