Individual
DR. MICHAEL A MONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 W BELVEDERE AVE FL 5, BALTIMORE, MD 21215-5216
(410) 601-8500
(410) 601-8501
Mailing address
2401 W BELVEDERE AVE FL 5, BALTIMORE, MD 21215-5216
(410) 601-8500
(410) 601-8501
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
35.129335
OH
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
D40090
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200039947
R/R MEDICARE PROVIDER #
MD
05
—
280191400
—
MD
01
—
CC3778
R/R MEDICARE GROUP #
MD
Enumeration date
06/14/2006
Last updated
01/30/2024
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