Provider Demographics
NPI:1609181130
Name:MONCION, RENE JULIO (DO)
Entity Type:Individual
Prefix:
First Name:RENE
Middle Name:JULIO
Last Name:MONCION
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 STONEHENGE DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-3026
Mailing Address - Country:US
Mailing Address - Phone:757-613-1936
Mailing Address - Fax:
Practice Address - Street 1:24 STONEHENGE DR
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-3026
Practice Address - Country:US
Practice Address - Phone:757-613-1936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-09
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2428207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine