NPI 1043294564 · live from the CMS NPI Registry
Mary Jo Montanarella, M.D
Obstetrics & Gynecology in Manchester, NH. National Provider Identifier 1043294564, active.
NPI record
| NPI | 1043294564 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Obstetrics & Gynecology 207V00000X |
| Practice location | 30 Canton St, Suite 6, Manchester, NH 03103 |
| Practice phone | 603-624-1638 |
| Enumerated | November 30, 2005 |
| Last updated | October 1, 2013 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology primary | 207V00000X | 8358 (NH) |
| Obstetrics & Gynecology, Gynecology | 207VG0400X | 8358 (NH) |
| Obstetrics & Gynecology, Obstetrics | 207VX0000X | 8358 (NH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.