Provider Demographics
NPI:1700033255
Name:MONTEGUT, FERDINAND J (MD)
Entity Type:Individual
Prefix:DR
First Name:FERDINAND
Middle Name:J
Last Name:MONTEGUT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:289 MERRY CIR
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CT
Mailing Address - Zip Code:06477-3417
Mailing Address - Country:US
Mailing Address - Phone:203-795-0451
Mailing Address - Fax:
Practice Address - Street 1:289 MERRY CIR
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CT
Practice Address - Zip Code:06477-3417
Practice Address - Country:US
Practice Address - Phone:203-795-0451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-26
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT019643208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)