Glorioso, Monty Anthony

Glorioso, Monty Anthony is an individual health care provider with primary practice located at 3530 Houma Blvd Ste 300 , Metairie LA 70006-4203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Glorioso, Monty Anthony can be contacted via phone (504) 264-5142.

Contact Information

Primary practice address
3530 Houma Blvd Ste 300 Metairie LA 70006-4203
Phone: (504) 264-5142
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 021194 Louisiana

Profile Details

NPI number 1962467191
LBN Legal business name Glorioso, Monty Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962467191 NPPES
Other 021194 STATE LIC #
MEDICAID 1983764 STATE LIC #
Other 99046 STATE LIC #
MEDICAID 1445509 STATE LIC #
Other 2704219001 STATE LIC #
Other F6413 STATE LIC #
Other 4555509 STATE LIC #

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