Individual
MICHAEL SALVATORE MONTILEONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 SENTARA CIRCLE, SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER, WILLIAMSBURG, VA 23188
(757) 984-7890
(757) 984-7891
Mailing address
PO BOX 12127, TIDEWATER DIAGNOSTIC IMAGING, NEWPORT NEWS, VA 23612-2121
(757) 867-6101
(757) 867-6587
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101230446
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7204868
—
VA
Enumeration date
08/20/2006
Last updated
07/08/2007
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