Provider Demographics
NPI:1073853784
Name:DR. JOANNE KAKATY-MONZO LLC
Entity type:Organization
Organization Name:DR. JOANNE KAKATY-MONZO LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:KAKATY-MONZO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:484-924-8373
Mailing Address - Street 1:2250 OLD SENTINEL TRL
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-7500
Mailing Address - Country:US
Mailing Address - Phone:610-420-1615
Mailing Address - Fax:610-642-1607
Practice Address - Street 1:39 RITTENHOUSE PL
Practice Address - Street 2:
Practice Address - City:ARDMORE
Practice Address - State:PA
Practice Address - Zip Code:19003-2209
Practice Address - Country:US
Practice Address - Phone:610-420-1615
Practice Address - Fax:610-642-1607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-18
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty