Individual
MR. JAMES R MONTGOMERY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
1201 SPRINGWOOD AVE, ASBURY PARK, NJ 07712-6752
(267) 229-9535
Mailing address
1201 SPRINGWOOD AVE STE 104, ASBURY PARK, NJ 07712-6796
(732) 539-3584
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1105168
PA
Other
Enumeration date
06/13/2018
Last updated
10/19/2021
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