Individual
ERICA LYNN MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-2000
Mailing address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT215421
PA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35C.003623
OH
208100000X
Physical Medicine & Rehabilitation Physician
MT215421
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0166219
—
OH
Enumeration date
06/12/2018
Last updated
02/03/2026
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