Provider Demographics
NPI:1619908555
Name:MONTUORI, JAMES (DO)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:MONTUORI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 COOPER PLAZA
Mailing Address - Street 2:SUITE 502
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103
Mailing Address - Country:US
Mailing Address - Phone:856-968-7433
Mailing Address - Fax:856-968-8499
Practice Address - Street 1:ONE COOPER PLAZA
Practice Address - Street 2:COOPER UNIVERSITY RADIOLOGY PC
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103
Practice Address - Country:US
Practice Address - Phone:856-342-2380
Practice Address - Fax:856-365-0472
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB0652682085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ60037207OtherHORIZON NJ HEALTH
NJ3226507OtherCIGNA
NJ8509000Medicaid
NJ01004612400OtherAMERIHCOICE
NJ1718888OtherAETNA
NJ2093469000OtherAMERIHEALTH/KEYSTONE/IBC
NJ3226507OtherCIGNA
NJ048723SF5Medicare PIN