Individual
MIGUEL SANTIAGO MONTANA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 BROOKLINE AVE # 221, BOSTON, MA 02215-5400
(617) 455-1207
Mailing address
330 BROOKLINE AVE # SPAN221, BOSTON, MA 02215-5400
(617) 455-1207
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
291131
MA
208M00000X
Hospitalist Physician
Primary
291131
MA
Other
Enumeration date
03/23/2019
Last updated
03/08/2023
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