Individual
SHILPA MONGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
61 N MAIN ST, CHARLTON, MA 01507-1315
(508) 765-5981
(508) 764-4637
Mailing address
PO BOX 40, SOUTHBRIDGE, MA 01550-0040
(508) 909-7799
(508) 764-2432
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
248838
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110090051A
—
MA
Enumeration date
04/18/2011
Last updated
10/09/2015
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