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Individual

DR. JAY RANDALL MONTGOMERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
NATIONAL NAVAL MEDICAL CENTER, 8901 WISCONSIN AVE, BETHESDA, MD 20889-0001
(301) 295-4510
(301) 319-8299
Mailing address
NATIONAL NAVAL MEDICAL CTR, 8901 WISCONSIN AVE., BETHESDA, MD 20889-0001
(301) 295-4510
(301) 319-8299

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
0101241913
VA

Other

Enumeration date
01/26/2006
Last updated
07/08/2007
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