Individual
DR. ROBERT ANTHONY MONTELEONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 W. HIGH ST., SUITE 214, ELKTON, MD 21921
(410) 996-9490
(410) 996-9493
Mailing address
111 W. HIGH ST., SUITE 214, ELKTON, MD 21921
(410) 996-9490
(410) 996-9493
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C1-0006525
DE
207Q00000X
Family Medicine Physician
C10006525
DE
207Q00000X
Family Medicine Physician
Primary
D0053675
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
277599
MAMSI PROVIDER ID#
—
01
—
68563501
BLUE SHIELD PROV #
MD
05
—
765703000
—
MD
Enumeration date
07/25/2006
Last updated
05/18/2021
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