Individual
DR. JEFFREY MICHAEL MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
407 N STATE ST, CLARKS SUMMIT, PA 18411-1061
(570) 586-1134
(570) 586-1136
Mailing address
407 N STATE ST, CLARKS SUMMIT, PA 18411-1061
(570) 586-1134
(570) 586-1136
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS014541
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102210583
—
PA
Enumeration date
05/29/2007
Last updated
08/01/2021
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