# JOSEPH W. MONTAGNINO, MDPA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174835300
- **Authorized official:** MRS. LILIA B MONTAGNINO R.N. (OFFICE MANAGER)
- **Authorized official phone:** (973) 238-0055

## Contact information

- **Practice address:** 625 LAFAYETTE AVE, HAWTHORNE, NJ 07506-3401
- **Practice address phone:** (973) 238-0055
- **Practice address fax:** (973) 238-9826
- **Mailing address:** PO BOX 98, WYCKOFF, NJ 07481-0098
- **Mailing address phone:** (973) 238-0055
- **Mailing address fax:** (973) 238-9826

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 25MA03358100 | NJ | Yes |

## Other

- **Enumeration date:** 07/02/2010
- **Last updated:** 07/02/2010