1043542459 NPI number — ELIEZER MONGE, M.D., P.C.

Table of content: (NPI 1043542459)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043542459 NPI number — ELIEZER MONGE, M.D., P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ELIEZER MONGE, M.D., P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043542459
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/21/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
23607 FARMINGTON RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FARMINGTON
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48336-3109
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
248-474-5215
Provider Business Mailing Address Fax Number:
248-474-7260

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
23607 FARMINGTON RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FARMINGTON
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48336-3109
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-474-5215
Provider Business Practice Location Address Fax Number:
248-474-7260
Provider Enumeration Date:
02/10/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MONGE
Authorized Official First Name:
ELIEZER
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT/PHYSICIAN
Authorized Official Telephone Number:
248-474-5215

Provider Taxonomy Codes

  • Taxonomy code: 207RG0100X , with the licence number:  4301027308 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1047315 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".