Individual
IONA MONTEIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
90 BERGEN ST, DOC 5100, NEWARK, NJ 07103-2425
(973) 972-5779
(973) 972-5895
Mailing address
30 BERGEN ST, ADMC 12 1205, NEWARK, NJ 07107-3000
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
25MA06040500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7227400
—
NJ
Enumeration date
11/13/2006
Last updated
01/27/2022
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