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Individual

DR. FRANK JOSEPH MONGILLO III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
26 ELM STREET, NEW HAVEN, CT 06510-2006
(203) 776-6845
(203) 777-9020
Mailing address
26 ELM STREET, NEW HAVEN, CT 06510-2006
(203) 776-6845
(203) 777-9020

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
035706
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00135706200
BLUE CARE FAMILY
01
01036706
CIGNA
01
035706
CONNECTICARE
01
0443076
UNITED HEALTHCARE
01
1027208
AETNA
01
943290
HEALTH NET
01
C702
BCBS
01
P693817
OXFORD
Enumeration date
07/20/2006
Last updated
07/08/2007
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