| Montano Wellness LLC | |
|
160 West St Ste 1a Cromwell CT 06416-2441 | |
| (860) 632-0144 | |
| (860) 632-7882 |
| Full Name | Montano Wellness LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 160 West St Ste 1a, Cromwell, Connecticut |
| Authorized Official Name and Position | Charles Brendan Montano (OWNER, MEDICAL DIRECTOR) |
| Authorized Official Contact | 8606320144 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Montano Wellness LLC 160 West St Ste 1a Cromwell CT 06416-2441 Ph: (860) 632-0144 | Montano Wellness LLC 160 West St Ste 1a Cromwell CT 06416-2441 Ph: (860) 632-0144 |
| NPI Number | 1740776954 |
|---|---|
| Provider Enumeration Date | 07/11/2018 |
| Last Update Date | 07/11/2018 |
| Medicare PECOS PAC ID | 6406106954 |
|---|---|
| Medicare Enrollment ID | O20180905001099 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740776954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 016871 (Connecticut) | Primary |
| Provider Name | Charles Montano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487673208 PECOS PAC ID: 4981752805 Enrollment ID: I20090504000426 |
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