Individual
PHILIP MONTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
291842
MA
207R00000X
Internal Medicine Physician
329052
NY
207R00000X
Internal Medicine Physician
A164985
CA
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
291842
MA
207RS0010X
Sports Medicine (Internal Medicine) Physician
329052
NY
Other
Enumeration date
06/21/2018
Last updated
11/25/2024
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