Individual
DR. MONTY ANTHONY GLORIOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3530 HOUMA BLVD STE 300, METAIRIE, LA 70006-4203
(504) 264-5142
Mailing address
3601 HOUMA BLVD STE 402, METAIRIE, LA 70006-4310
(504) 503-5123
(504) 503-5129
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
021194
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021194
STATE LIC #
—
05
—
1445509
—
LA
05
—
1983764
—
LA
01
—
2704219001
CIGNA
—
01
—
4555509
AETNA
—
01
—
99046
COVENTRY
—
01
—
F6413
BSBS AUTH #
—
Enumeration date
04/19/2006
Last updated
03/07/2023
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