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Individual
STEPHANIE C MONTGOMERY
Active
Individual
STEPHANIE C MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
54671
CT
2086S0102X
Surgical Critical Care Physician
Primary
54671
CT
Other
Enumeration date
03/20/2007
Last updated
12/01/2015
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