Provider Demographics
NPI:1831164284
Name:MONTEIRO, DENNIS TOSTI (MD)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:TOSTI
Last Name:MONTEIRO
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:PO BOX 434
Mailing Address - Street 2:
Mailing Address - City:VALLEY FORGE
Mailing Address - State:PA
Mailing Address - Zip Code:19481-0434
Mailing Address - Country:US
Mailing Address - Phone:610-935-5600
Mailing Address - Fax:610-935-0830
Practice Address - Street 1:1288 VALLEY FORGE RD
Practice Address - Street 2:SUITE 65
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460-2687
Practice Address - Country:US
Practice Address - Phone:610-935-5600
Practice Address - Fax:610-935-0830
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2012-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD027828E2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0011245120003Medicaid
PA0011245120003Medicaid
B3796Medicare UPIN