Individual
LUCRETIA S MONGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
54 WASHINGTON ST, TOMS RIVER, NJ 08753-7643
(732) 505-0213
Mailing address
54 WASHINGTON ST, TOMS RIVER, NJ 08753-7643
(732) 505-0213
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA09631500
NJ
207Q00000X
Family Medicine Physician
270402
NY
Other
Enumeration date
06/30/2009
Last updated
12/02/2022
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