MEDICARE: DONALD MONTEIRO M.D.

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	207V00000X	Obstetrics & Gynecology Physician	57281	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	602829	OTHER	MA	TUFTS
2	130371	OTHER	MA	HARVARD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013080605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD MONTEIRO M.D.

Provider Business Mailing Address
First Line	:	1 CITY HALL PLZ
Second Line	:
City	:	MELROSE
State	:	MA
Zip	:	02176-3149
Country	:	US
Telephone Number	:	781-662-4390
Fax Number	:	781-662-4395

Provider Business Practice Location Address
First Line	:	1 CITY HALL PLZ
Second Line	:
City	:	MELROSE
State	:	MA
Zip	:	02176-3149
Country	:	US
Telephone Number	:	781-662-4390
Fax Number	:	781-662-4395

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

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	11/06/2013

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