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NPI Code Detail

MEDICARE: DR. DANIEL ALEXANDER MONTI MD

MEDICARE:  DR. DANIEL ALEXANDER MONTI  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
12084P0800XPsychiatry PhysicianMD054255LPA

General Provider Information

NPI Number : 1710176953
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL ALEXANDER MONTI MD
Provider Business Mailing Address
First Line : 111 S 11TH STREET
Second Line : SUITE 6215 GIBBON BLDG
City : PHILA
State : PA
Zip : 19107
Country : US
Telephone Number : 215-955-4410
Fax Number : 215-503-9575
Provider Business Practice Location Address
First Line : 111 S 11TH STREET
Second Line : SUITE 6215 GIBBON BLDG TJUH
City : PHILA
State : PA
Zip : 19107
Country : US
Telephone Number : 215-955-4410
Fax Number : 215-503-9575
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2007
Last Update Date : 10/23/2007

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Directions to “ DR. DANIEL ALEXANDER MONTI MD” Practice Location

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