Healthcare Provider Details

I. General information

NPI: 1801754817
Provider Name (Legal Business Name): BENJAMIN MONTI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2026
Last Update Date: 01/10/2026
Certification Date: 01/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9956 N MAIN ST UNIT 2
BERLIN MD
21811-1077
US

IV. Provider business mailing address

25139 SALTWATER CIR
SELBYVILLE DE
19975-3569
US

V. Phone/Fax

Practice location:
  • Phone: 302-662-0023
  • Fax:
Mailing address:
  • Phone: 585-236-7251
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberU03017
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: