Montgomery, Thomas R

Montgomery, Thomas R is an individual health care provider with primary practice located at 601 Childrens Ln , Norfolk VA 23507-1910. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities. Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities is his primary health care specialty. Montgomery, Thomas R can be contacted via phone (757) 668-2840.

Contact Information

Primary practice address
601 Childrens Ln Norfolk VA 23507-1910
Phone: (757) 668-2840
Fax: (757) 668-2845
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101035588 Virginia
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2080P0008X 0101035588 Virginia

Profile Details

NPI number 1730134198
LBN Legal business name Montgomery, Thomas R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Dec 17th, 2009 - about 16 years 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 1730134198 NPPES
Pennsylvania MEDICAID 0018739090001
Pennsylvania MEDICAID 006722440
Pennsylvania MEDICAID 130371600
Pennsylvania MEDICAID 890534Y

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