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Individual
DR. MARY JO MONTANARELLA
Active
Individual
DR. MARY JO MONTANARELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
8358
NH
207VG0400X
Gynecology Physician
8358
NH
207VX0000X
Obstetrics Physician
8358
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0105135Y0NH01
ANTHEM
NH
01
—
0702141
DIRECT ACCESS
—
01
—
141852219
CIGNA
NH
01
—
165135
BLUE CHOICE/HMO BLUE/INDE
NH
01
—
2755
HEALTHSOURCE
NH
01
—
2950237
HMO(QUALITY POS, US ACCES
NH
05
—
3072647
—
NH
01
—
759308
TUFTS
NH
01
—
E55310
HARVARD PILGRIM
NH
01
—
NX1984
PTAN
NH
Enumeration date
11/30/2005
Last updated
10/01/2013
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