Individual
ANGELICA T. MONTESANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5501 OLD YORK ROAD, LEVY GRD FL., PHILADELPHIA, PA 19141
(215) 456-6280
Mailing address
101 E OLNEY AVE, SUITE 505, PHILADELPHIA, PA 19120
(215) 456-7000
(215) 254-2599
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD038176L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001279660
—
PA
Enumeration date
10/02/2006
Last updated
07/08/2007
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