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Joseph W. Montagnino, Mdpa
Medical Specialty Clinic/Center in Hawthorne, New Jersey
NPI 1174835300

Joseph W. Montagnino, Mdpa is a Medical Specialty Clinic/Center based in Wyckoff, NJ and is specialized in Medical Specialty. Joseph W. Montagnino, Mdpa practices in Hawthorne, NJ. The NPI Number for Joseph W. Montagnino, Mdpa is 1174835300 and holds a License No. 25MA03358100 (New Jersey).

The current practice location address for Joseph W. Montagnino, Mdpa is 625 Lafayette Ave, Hawthorne, NJ and can be reached out via phone at 973-238-0055 and via fax at 973-238-9826.

Location: 625 Lafayette Ave, Hawthorne, NJ, 07481-0098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174835300
Provider Name
Joseph W. Montagnino, Mdpa
Credential
Provider Entity Type
Organization
Address
625 Lafayette Ave, Hawthorne, NJ, 07481-0098
Phone Number
973-238-0055
Fax Number
973-238-9826
Provider Enumeration Date
07/02/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3063402 05 NJ
institution
Provider Business Practice Location Address Details
Address
625 Lafayette Ave
City
Hawthorne
State
New Jersey
Zip
07506-3401
Phone Number
973-238-0055
Fax Number
973-238-9826
person
Provider Business Mailing Address Details
Address
625 Lafayette Ave
City
Hawthorne
State
New Jersey
Zip
07506-3401
Phone Number
973-238-0055
Fax Number
973-238-9826
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
25MA03358100 (New Jersey)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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