Individual
ELLEN MARIE MONGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6701 N CHARLES ST STE 4104, BALTIMORE, MD 21204-6808
(410) 938-5382
(410) 938-4806
Mailing address
PO BOX 5391, BALTIMORE, MD 21209-0391
(410) 929-4617
(855) 234-9097
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0065840
MD
Other
Enumeration date
03/06/2007
Last updated
01/28/2020
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