Individual
THOMAS R MONTGOMERY
Active
Individual
THOMAS R MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101035588
VA
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
0101035588
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018739090001
—
PA
05
—
006722440
—
VA
05
—
130371600
—
MD
05
—
890534Y
—
NC
Enumeration date
05/24/2006
Last updated
12/17/2009
Update your record
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