Individual
DAVID G MONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7007 POWERS BLVD, PARMA, OH 44129-5437
(440) 743-3000
Mailing address
PO BOX 931460, CLEVELAND, OH 44193-1611
(440) 879-0081
(440) 879-0084
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35-060108
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000125539
ANTHEM
OH
05
—
0892093
—
OH
Enumeration date
03/09/2006
Last updated
07/08/2007
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