Individual
MR. ANTHONY MONGIELLO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
160 E 2ND ST, SUITE B, PLAINFIELD, NJ 07060-1214
(732) 804-5756
Mailing address
160 E 2ND ST, SUITE B, PLAINFIELD, NJ 07060-1214
(732) 804-5756
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
TD1382
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160244
—
NJ
Enumeration date
11/10/2021
Last updated
03/13/2024
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