Dr. Mary Jo Montanarella
Obstetrician & Gynecologist Gynecologist Obstetrician
30 Canton St Suite 6
Manchester
, New Hampshire 03103-3524
Dr. Mary Jo Montanarella
Obstetrician & Gynecologist Gynecologist Obstetrician
30 Canton St Suite 6
Manchester
, New Hampshire 03103-3524
(603) 624-1972
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About
Features
Specialties
- Obstetrician & Gynecologist
- Gynecologist
- Obstetrician
Languages spoken
- English
Location
First Address
- Dr. Mary Jo Montanarella
- 30 Canton St Suite 6
- Manchester, NH
- Zip : 03103-3524
- Fax : (603) 624-1972
- Phone : (603) 624-1638
Second Address
- Dr. Mary Jo Montanarella
- 30 Canton St Suite 6
- Manchester, NH
- Zip : 03103-3524
- Fax : (603) 624-1972
- Phone : (603) 624-1638
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | 8358 | NH |
| N | 207VG0400X | Gynecologist | 8358 | NH |
| N | 207VX0000X | Obstetrician | 8358 | NH |
National Provider Identifier
| NPI | 1043294564 |
|---|---|
| Provider Name | Dr. Mary Jo Montanarella |
| First Address | Manchester, NH 03103-3524 |
| Second Address | Manchester, NH 03103-3524 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/11/2005 |
| Last Update Date | 01/10/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0105135Y0NH01 | ANTHEM (01) | NH |
| 0702141 | DIRECT ACCESS (01) | |
| 141852219 | CIGNA (01) | NH |
| 141852219 | HCVM (01) | NH |
| 141852219 | ONE HEALTH PLAN (01) | NH |
| 141852219 | PHCS (01) | NH |
| 141852219 | UNICARE (01) | NH |
| 141852219 | UNITED HEALTHCARE (01) | NH |
| 165135 | BLUE CHOICE/HMO BLUE/INDE (01) | NH |
| 2755 | HEALTHSOURCE (01) | NH |
| 2950237 | HMO(QUALITY POS, US ACCES (01) | NH |
| 3072647 | (05) | NH |
| 759308 | TUFTS (01) | NH |
| E55310 | (02) | NH |
| E55310 | HARVARD PILGRIM (01) | NH |
| NX1984 | PTAN (01) | NH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.