# NATHANIEL MONTAG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1033503255
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 02005347A | IN | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 25MB10420400 | NJ | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | 296383-1 | NY | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | — |

## Other

- **Enumeration date:** 03/25/2015
- **Last updated:** 04/30/2019