Individual
GINO MONGELLUZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 NORTH ACADEMY AVENUE, DANVILLE, PA 17822-2007
(570) 271-6301
(570) 271-5976
Mailing address
100 NORTH ACADEMY AVENUE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
MD458500
PA
Other
Enumeration date
06/22/2010
Last updated
10/10/2016
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