# ROBERT AVERY MONTGOMERY

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

## Provider details

- **NPI number:** 1467404137
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204F00000X | Transplant Surgery Physician | 175588 | NY | Yes |
| 208600000X | Surgery Physician | 175588 | NY | — |
| 208600000X | Surgery Physician | D47982 | MD | — |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 05/16/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100411500 | — | MD |