Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 57281 | MA |
NPI | 1013080605 |
---|---|
Provider Name | Donald Monteiro |
First Address | Melrose, MA 02176-3149 |
Second Address | Melrose, MA 02176-3149 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2006 |
Last Update Date | 06/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
130371 | HARVARD (01) | MA |
3016471 | (05) | MA |
602829 | TUFTS (01) | MA |
A58725 | (02) | MA |