Provider Demographics
NPI:1073223293
Name:CORNERSTONE MONTGOMERY, INC.
Entity Type:Organization
Organization Name:CORNERSTONE MONTGOMERY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:OSTROWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-493-4200
Mailing Address - Street 1:2 TAFT CT STE 200
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-1390
Mailing Address - Country:US
Mailing Address - Phone:301-715-3673
Mailing Address - Fax:888-496-8354
Practice Address - Street 1:41900 FENWICK ST STE 5
Practice Address - Street 2:
Practice Address - City:LEONARDTOWN
Practice Address - State:MD
Practice Address - Zip Code:20650-3815
Practice Address - Country:US
Practice Address - Phone:301-475-9315
Practice Address - Fax:301-475-9317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-29
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health