Montgomery, Robert Avery

Montgomery, Robert Avery is an individual health care provider with primary practice located at 601 N Caroline St , Baltimore MD 21287-0006. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Transplant Surgery. Allopathic & Osteopathic Physicians / Transplant Surgery is his primary health care specialty. Montgomery, Robert Avery can be contacted via phone (410) 955-5045.

Contact Information

Primary practice address
601 N Caroline St Baltimore MD 21287-0006
Phone: (410) 955-5045
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X D47982 Maryland
Allopathic & Osteopathic Physicians / Surgery 208600000X 175588 New York
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 175588 New York

Profile Details

NPI number 1467404137
LBN Legal business name Montgomery, Robert Avery
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated May 16th, 2024 - about 7 months ago

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 1467404137 NPPES
Maryland MEDICAID 100411500

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