Organization
JOSEPH W. MONTAGNINO, MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LILIA B MONTAGNINO R.N. (OFFICE MANAGER)
(973) 238-0055
Entity
Organization
Contact information
Practice address
625 LAFAYETTE AVE, HAWTHORNE, NJ 07506-3401
(973) 238-0055
(973) 238-9826
Mailing address
PO BOX 98, WYCKOFF, NJ 07481-0098
(973) 238-0055
(973) 238-9826
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
25MA03358100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3063402
—
NJ
Enumeration date
07/02/2010
Last updated
07/02/2010
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