Individual
DR. ANTHONY RICHARD MONTICELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
RR 1 BOX 1056, BRACKNEY, PA 18812-9703
(570) 663-2801
(570) 663-2362
Mailing address
RR 1 BOX 1056, BRACKNEY, PA 18812-9703
(570) 663-2801
(570) 663-2362
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
122579
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00562767
—
NY
Enumeration date
05/10/2006
Last updated
06/08/2009
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