Basic Information
| Provider Information | |||||||||
| NPI: | 1376693416 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | DAVID J. MOND, MD, PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1130 TEN ROD RD | ||||||||
| Address2: | D201 | ||||||||
| City: | NORTH KINGSTOWN | ||||||||
| State: | RI | ||||||||
| PostalCode: | 028524161 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8775917250 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1190 NW 95TH ST | ||||||||
| Address2: | SUITE 301 | ||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331502063 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3059043490 | ||||||||
| FaxNumber: | 3055350931 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/11/2007 | ||||||||
| LastUpdateDate: | 04/25/2008 | ||||||||
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| AuthorizedOfficialLastName: | MOND | ||||||||
| AuthorizedOfficialFirstName: | DAVID | ||||||||
| AuthorizedOfficialMiddleName: | J | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 3059043490 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0204X | G9880 | FL | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Radiology | Vascular & Interventional Radiology |
No ID Information.