Provider Demographics
NPI:1043247752
Name:FENG, MONA P (MD)
Entity Type:Individual
Prefix:
First Name:MONA
Middle Name:P
Last Name:FENG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 EXETER RD. BLDG. 100, STE. 103
Mailing Address - Street 2:
Mailing Address - City:NEWMARKET
Mailing Address - State:NH
Mailing Address - Zip Code:03857-1945
Mailing Address - Country:US
Mailing Address - Phone:603-659-1600
Mailing Address - Fax:603-659-6767
Practice Address - Street 1:60 EXETER RD., BLDG. 100. STE 103
Practice Address - Street 2:
Practice Address - City:NEWMARKET
Practice Address - State:NH
Practice Address - Zip Code:03857
Practice Address - Country:US
Practice Address - Phone:603-659-1600
Practice Address - Fax:603-659-6767
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-27
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH10325208000000X
NH10329208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
G39504Medicare UPIN