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NPI Code Detail

MEDICARE: DR. JUDITH MONTEFERRANTE MD

MEDICARE: DR. JUDITH MONTEFERRANTE 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
1174400000XSpecialist138569NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2060065457OTHERNYRAIL ROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033112966
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUDITH MONTEFERRANTE MD
Provider Business Mailing Address
First Line : 45 EASTERN POINT RD
Second Line :
City : GLOUCESTER
State : MA
Zip : 01930-4139
Country : US
Telephone Number : 978-283-6856
Fax Number : 978-282-0977
Provider Business Practice Location Address
First Line : 45 EASTERN POINT RD
Second Line :
City : GLOUCESTER
State : MA
Zip : 01930-4139
Country : US
Telephone Number : 978-283-6856
Fax Number : 978-282-0977
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 06/10/2013

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Directions to “ DR. JUDITH MONTEFERRANTE MD” Practice Location

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