Individual
NICHOLAS DAVID MONTECALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-1200
(570) 271-6301
(570) 271-5976
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD473250
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT208016
PA
Other
Enumeration date
06/07/2015
Last updated
05/11/2022
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