Individual
NATHANIEL MONTAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
500 GRAND AVE, ENGLEWOOD, NJ 07631-4967
(201) 567-2277
Mailing address
355 W 16TH ST, INDIANAPOLIS, IN 46202-2207
(317) 963-7077
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
02005347A
IN
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MB10420400
NJ
208100000X
Physical Medicine & Rehabilitation Physician
296383-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2015
Last updated
04/30/2019
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