Individual
GERARD M MONTICOLLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1600 HADDON AVE FL 3, CAMDEN, NJ 08103-3101
(856) 988-6260
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MBD47338
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009928
AETNA
NJ
01
—
010064263
RAILROAD MEDICARE
NJ
01
—
1122473
HORIZON NJ HEALTH
NJ
05
—
2012707
—
NJ
01
—
2190722000
AMERIHEALTH
NJ
01
—
222041639
TAX ID
NJ
01
—
95976
AMERIGROUP
NJ
Enumeration date
06/14/2006
Last updated
02/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us