Organization · Type 2 NPI
Joseph W. Montagnino, Mdpa
Medical Specialty Clinic/Center · Hawthorne, NJ
Practice location
625 Lafayette Ave
Hawthorne, NJ 07506-3401
Fax (973) 238-9826
Mailing address
PO Box 98
Wyckoff, NJ 07481-0098
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | 25MA03358100 (NJ) |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
4 other providers at this address
About NPI 1174835300
Joseph W. Montagnino, Mdpa's National Provider Identifier is 1174835300, issued on Jul 2, 2010. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Hawthorne, NJ. The record was last updated on Jul 2, 2010.