MEDICARE: DR. CHRISTOPHER MONTES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	25MA09244300	NJ

General Provider Information

NPI Number	:	1255568861
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER MONTES MD

Provider Business Mailing Address
First Line	:	202 MOONACHIE RD
Second Line	:
City	:	MOONACHIE
State	:	NJ
Zip	:	07074-1301
Country	:	US
Telephone Number	:	201-655-0217
Fax Number	:

Provider Business Practice Location Address
First Line	:	202 MOONACHIE RD
Second Line	:
City	:	MOONACHIE
State	:	NJ
Zip	:	07074-1301
Country	:	US
Telephone Number	:	201-655-0217
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2009
Last Update Date	:	12/07/2018

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