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Individual

MR. RICHARD J MONTERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322
(404) 712-7100
Mailing address
641 NORTH AVE NE APT 1214, ATLANTA, GA 30308-2885
(646) 710-0964

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
016471
NY
363A00000X
Physician Assistant
Primary
8045
GA

Other

Enumeration date
03/13/2013
Last updated
07/18/2018
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