Individual
DR. MIGDONIA MONTEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
110 KINGSLEY LN, SUITE 106, NORFOLK, VA 23505-4614
(757) 889-5735
(757) 889-5742
Mailing address
110 KINGSLEY LN, SUITE 106, NORFOLK, VA 23505-4614
(757) 889-5735
(757) 889-5742
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101058505
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119124
ANTHEM BC/BS
VA
01
—
19462
SENTARA OPTIMA
VA
01
—
370927
MDIPA/MAMSI/OPTIMUM
—
05
—
5602076
—
VA
01
—
603296
BC/BS PENNSYLVANIA
PA
01
—
7852026
AETNA
—
05
—
89064GW
—
NC
Enumeration date
07/07/2005
Last updated
12/18/2007
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