Individual
ANTHONY MONTELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 E LANCASTER AVE, WYNNEWOOD, PA 19096-3450
(610) 526-3000
(517) 787-2922
Mailing address
610 W GERMANTOWN PIKE STE 150, PLYMOUTH MEETING, PA 19462-1062
(610) 526-3000
(517) 787-2922
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN626765
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN626765
RN LICENSE
PA
Enumeration date
10/09/2020
Last updated
01/06/2021
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