Provider Demographics
NPI:1861567067
Name:DEL MONACO, MAGALY PATRICIA (DO)
Entity type:Individual
Prefix:
First Name:MAGALY
Middle Name:PATRICIA
Last Name:DEL MONACO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BRAMLEY RD
Mailing Address - Street 2:
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-3861
Mailing Address - Country:US
Mailing Address - Phone:856-722-9972
Mailing Address - Fax:
Practice Address - Street 1:1000 FLORAL VALE BLVD
Practice Address - Street 2:CPUP DERMATOLOGY
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:08057-3124
Practice Address - Country:US
Practice Address - Phone:215-752-4020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB06665900207N00000X
PAOS008259L207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
023789Medicare PIN
G73288Medicare UPIN