Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0004X | Dentist Anesthesiologist | DA031669 | PA |
N | 1223G0001X | General Practice | DS-021896-L | PA |
N | 213EG0000X | General Practice | DS-021896-L | PA |
NPI | 1013130202 |
---|---|
Provider Name | Dr. Anthony Charles Montagnese |
First Address | Pittsburgh, PA 15220-3510 |
Second Address | Pittsburgh, PA 15220-3510 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2007 |
Last Update Date | 11/02/2016 |