Provider Demographics
NPI:1285730812
Name:JOHNS, MONTGOMERY NEWMAN (MD)
Entity type:Individual
Prefix:DR
First Name:MONTGOMERY
Middle Name:NEWMAN
Last Name:JOHNS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:623 JEFFERSON DAVIS HWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-4437
Mailing Address - Country:US
Mailing Address - Phone:540-373-3390
Mailing Address - Fax:540-373-3595
Practice Address - Street 1:623 JEFFERSON DAVIS HWY
Practice Address - Street 2:SUITE 101
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-4437
Practice Address - Country:US
Practice Address - Phone:540-373-3390
Practice Address - Fax:540-373-3595
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
VA0101039308207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAA79401Medicare UPIN