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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

TINA D MONTEMURNO, MD
500 W MAIN ST STE 16
WYCKOFF, NJ07481-1406
 Phone: 201-847-9403
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for TINA D MONTEMURNO · (Female)

NPI # 1003007360
Status Active
Credentials MD
Entity Individual
Enumeration date 08/01/2007
Last updated 08/17/2009 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MA08393900
  • NY License # 238503
Hospital affiliation(s)
  • VALLEY HOSPITAL - (Acute Care)
    223 N VAN DIEN AVENUE
    RIDGEWOOD, NJ 07450
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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