Individual
JENNIFER MONTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
96 CAMPUS DR, SUITE 1, SCARBOROUGH, ME 04074-7163
(207) 885-9905
(207) 396-5600
Mailing address
300 SOUTHBOROUGH DR, SUITE 201, SOUTH PORTLAND, ME 04106-6914
(207) 661-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD20969
ME
207RC0000X
Cardiovascular Disease Physician
82780
WI
207RC0000X
Cardiovascular Disease Physician
Primary
MD20969
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962729442
—
ME
05
—
1962729442
—
WI
Enumeration date
04/23/2010
Last updated
12/27/2023
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