Individual
DR. KENNETH MICHAEL MONTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 BRUNSWICK AVE, TRENTON, NJ 08638-4143
(609) 815-7532
Mailing address
PO BOX 3246, INDIANAPOLIS, IN 46206-3246
(844) 295-4874
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA09677600
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0464953
—
NJ
Enumeration date
04/01/2009
Last updated
01/15/2016
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