Leslie L Montgomery, MD | |
1255 Broad St, Clifton, NJ 07013-3398 | |
(973) 327-9584 | |
(833) 578-2190 |
Full Name | Leslie L Montgomery |
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Gender | Female |
Speciality | Surgery |
Location | 1255 Broad St, Clifton, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760467344 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 190436 (New York) | Secondary |
208600000X | Surgery | 25MA09747000 (New Jersey) | Primary |
Entity Name | Hackensack Meridian Health Medical Group - Specialty Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524 |
Entity Name | Summit Medical Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942254347 PECOS PAC ID: 5395642276 Enrollment ID: O20031218000011 |
Mailing Address | Practice Location Address |
---|---|
Leslie L Montgomery, MD 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 Ph: (908) 273-4300 | Leslie L Montgomery, MD 1255 Broad St, Clifton, NJ 07013-3398 Ph: (973) 327-9584 |
Dr. Theodora J Maio, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 71 Adams Ter, Clifton, NJ 07013 Phone: 201-704-1946 Fax: 973-783-7855 | |
Wanchu Thomas Kim, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1272 Clifton Ave, Clifton, NJ 07012 Phone: 973-471-2916 Fax: 973-470-9636 | |
Gary B Nackman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1037 Us Highway 46, Suite 202, Clifton, NJ 07013 Phone: 973-778-2222 Fax: 973-860-1148 | |
Dr. Ramon Silen, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1117 Route 46 East, Suite 301, Clifton, NJ 07013 Phone: 973-779-4242 Fax: 973-779-0146 | |
Dr. Alexis C. Bobila, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1037 Route 46, Suite #103, Clifton, NJ 07013 Phone: 973-471-8852 | |
Dr. Dimitrios John Fotiadis, MD PYSICIAN SURGEON Surgery Medicare: Not Enrolled in Medicare Practice Location: 337 Grove Str, Clifton, NJ 07013 Phone: 973-779-3787 Fax: 973-778-6433 | |
Dr. Nirman Tulsyan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 905 Allwood Rd Ste 105, Clifton, NJ 07012 Phone: 908-400-8405 |