Individual
MATTHEW L MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2201 BRUNSWICK DR STE 2300, HANOVER, PA 17331-8350
(717) 316-7165
Mailing address
100 PENN ST, HANOVER, PA 17331-1956
(717) 646-1117
(717) 632-4748
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD053492L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016392900004
—
PA
Enumeration date
06/09/2006
Last updated
06/03/2024
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