Individual
MONTY STEPHEN LEDBETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1153 CENTRE ST, RADIOLOGY FAULKNER HOSPITAL, BOSTON, MA 02130-3446
(617) 732-8098
(617) 525-7333
Mailing address
1153 CENTRE ST, RADIOLOGY FAULKNER HOSPITAL, BOSTON, MA 02130-3446
(617) 732-8098
(617) 525-7333
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
154812
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
154812
TUFTS HEALTH CARE
MA
05
—
3188221
—
MA
01
—
J19662
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/21/2005
Last updated
09/12/2012
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