Individual
DR. MYRTHO MONTES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
213 WASHINGTON ST, NEWARK, NJ 07102-2917
(973) 802-6380
(973) 802-2276
Mailing address
213 WASHINGTON ST, NEWARK, NJ 07102-2917
(973) 802-6380
(973) 802-2276
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
144054
NY
207R00000X
Internal Medicine Physician
Primary
MA073337
NJ
207R00000X
Internal Medicine Physician
MD424008
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01009907
—
NY
Enumeration date
05/13/2006
Last updated
07/08/2007
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