Ivan E Montalvo-otano MD

NPI 1184660789 - Anesthesiology - 207L00000X

NPI Details
NPI 1184660789
Gender Male
Enumeration Date 06/21/2006
Last Updated 01/07/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
830 WASHINGTON ST
WATERTOWN NY, 13601-4066, US
Phone (315) 785-8509
Fax (315) 785-8619
Business Location
445 FACTORY ST
PO BOX 91
WATERTOWN NY, 13601-2729, US
Phone (315) 782-4207
Fax (315) 782-8699
Toxanomy
Taxonomy Code 207L00000X
License State New York
License Number 218973
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According to our database, Ivan E Montalvo-otano MD NPI is 1184660789, taxonomy code is 207L00000X and license number is 218973, license state is located at New York. Ivan E Montalvo-otano MD physically located at 830 Washington St, Watertown NY, 13601-4066. NPI Number Ivan E Montalvo-otano MD has the Individual type.

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1184660789 NPI number is provided on an as is basis without warranty of any kind. 1184660789 is maintained by the National Plan & Provider Enumeration System. The contents of Ivan E Montalvo-otano MD are for informational purposes only.