Individual
DR. JUSTIN TYRONE MONTANYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
455 LEWIS AVE, SUITE 221, MERIDEN, CT 06451
(203) 694-8550
(203) 694-7698
Mailing address
455 LEWIS AVE, SUITE 221, MERIDEN, CT 06451
(203) 694-8550
(203) 694-7698
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
237982
NY
2084N0400X
Neurology Physician
Primary
50013
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02883223
—
NY
Enumeration date
10/04/2006
Last updated
08/09/2011
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