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1275153041
MICHAEL MONGIELLO
JERSEY CITY, NJ
NPI
1275153041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NJ 26NR13910400)
Enumeration Date
2020-04-22
Last Update Date
2020-04-22
Business Address
MICHAEL MONGIELLO
355 GRAND ST
JERSEY CITY, NJ 07302-4321
Phone number: 201-915-2000
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Mailing Address
MICHAEL MONGIELLO
234 SUYDAM AVE APT 502
JERSEY CITY, NJ 07304-3387
Phone number: 215-678-6956
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