Individual
ANDREW MONTELEONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 718-9080
(336) 718-9085
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 718-9080
(336) 718-9085
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
241993
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02832011
—
NY
Enumeration date
11/14/2006
Last updated
02/10/2014
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