Individual
KATHLEEN MONTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, 6 FOUNDERS, PHILADELPHIA, PA 19104-4206
(215) 662-6503
Mailing address
3400 SPRUCE STREET, 6 FOUNDERS, PHILADELPHIA, PA 19104-4206
(215) 662-6503
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
MD045905L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015581000001
—
PA
Enumeration date
06/30/2006
Last updated
09/09/2015
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