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General NPI Number Information
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NPI Number | 1871859660
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Entity Type | Organization
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Legal Business Name | MONTEFIORE MEDICAL CENTER
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Dates
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Enumeration Date | 04/05/2012
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Last Update Date | 06/27/2014
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Provider Practice Location Address
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Address Line | 1220 MAIN ST STE A
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City | LYNCHBURG
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State | VA
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Zip | 24504-1844
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Country | US
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Telephone | 727-366-2583
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Fax |
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Provider Business Mailing Address
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Address Line | 1220 MAIN ST STE A
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City | LYNCHBURG
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State | VA
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Zip | 24504-1844
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Country | US
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Telephone | 727-366-2583
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Fax |
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Authorized Official
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Title or Position | HOUSESTAFF
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Name | ISLAM SALEH
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Credential | M.D.
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Telephone | 727-366-2583
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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