Nathaniel Montag, D.O.
Physical Medicine & Rehabilitation in Englewood, NJ. Individual provider (NPI-1).
NPI number1033503255
StatusActive
Last updated in NPPESApr 30, 2019
Details
- NPI
- 1033503255
- Entity type
- Individual (NPI-1)
- Name
- Nathaniel Montag
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 25, 2015
- Last updated
- Apr 30, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 25MB10420400 | NJ | Yes |
| 208100000X | Physical Medicine & Rehabilitation | 296383-1 | NY | |
| 208100000X | Physical Medicine & Rehabilitation | 02005347A | IN | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
500 Grand AveEnglewood, NJ 07631-4967
Phone 201-567-2277
Mailing address
355 W 16th StIndianapolis, IN 46202-2207
Phone 317-963-7077
Other practice locations
355 W 16th St
Indianapolis, IN 46202-2207
Indianapolis, IN 46202-2207
Phone 317-963-7077
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