Individual
DOUGLAS D. MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
85 SEYMOUR ST, SUITE 200, HARTFORD, CT 06106
(860) 289-3375
(860) 560-2849
Mailing address
111 FOUNDERS PLZ, SUITE 400, EAST HARTFORD, CT 06108-3212
(860) 291-6554
(860) 528-0778
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
041348
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001413484
—
CT
01
—
010041348CT01
ANTHEM BC/BS
CT
01
—
A2516306
OXFORD
CT
Enumeration date
12/21/2005
Last updated
06/12/2018
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