MEDICARE: DANIEL 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
1	2084P0800X	Psychiatry Physician	MD420016	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1641575	OTHER	PA	HIGHMARK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306833777
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL MONTI MD

Provider Business Mailing Address
First Line	:	1376 FREEPORT RD STE 3B
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15238-3110
Country	:	US
Telephone Number	:	412-963-7511
Fax Number	:	412-963-7708

Provider Business Practice Location Address
First Line	:	1376 FREEPORT RD STE 3B
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15238-3110
Country	:	US
Telephone Number	:	412-963-7511
Fax Number	:	412-963-7708

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

Provider Enumeration Date	:	09/30/2005
Last Update Date	:	11/15/2011

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