Provider Demographics
NPI:1477611531
Name:DR ARMANDO A MONTIEL MD
Entity Type:Organization
Organization Name:DR ARMANDO A MONTIEL MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARMANDO
Authorized Official - Middle Name:A
Authorized Official - Last Name:MONTIEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:856-310-0477
Mailing Address - Street 1:23 N WHITE HORSE PIKE
Mailing Address - Street 2:
Mailing Address - City:AUDUBON
Mailing Address - State:NJ
Mailing Address - Zip Code:08106-1302
Mailing Address - Country:US
Mailing Address - Phone:856-310-0477
Mailing Address - Fax:856-310-1835
Practice Address - Street 1:23 N WHITE HORSE PIKE
Practice Address - Street 2:
Practice Address - City:AUDUBON
Practice Address - State:NJ
Practice Address - Zip Code:08106-1302
Practice Address - Country:US
Practice Address - Phone:856-310-0477
Practice Address - Fax:856-310-1835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ223244098OtherTAX ID
NJ223244098OtherTAX ID