# DR. MARY JO MONTANARELLA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1043294564
- **Gender:** F
- **Credential:** M.D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 8358 | NH | Yes |
| 207VG0400X | Gynecology Physician | 8358 | NH | — |
| 207VX0000X | Obstetrics Physician | 8358 | NH | — |

## Other

- **Enumeration date:** 11/30/2005
- **Last updated:** 10/01/2013

## 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 |