Marlon Jose Montenegro, CSFA
Marlon Jose Montenegro, CSFA is a Surgery Physician in New Albany, Indiana. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
2125 State St Ste 6New Albany, IN 47150-4972
Phone: (812) 948-7417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence 20-931 (WI) |
|---|---|
| Surgery Physician | Taxonomy 208600000X · Licence 20-391 (WI) |
Record details
| NPI number | 1588310734 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CSFA |
| Sole proprietor | Yes |
| NPI enumerated | February 25, 2022 |
| Last updated in NPPES | February 25, 2022 |
| Certification date | February 25, 2022 |
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