MONTANO WELLNESS LLC NPI 1740776954

NPI Information

  • NPI: 1740776954
  • Provider Name: MONTANO WELLNESS LLC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • CLIA Number: 07D0097037
  • Address: 160 WEST ST STE 1A
    CROMWELL, CT
    ZIP 06416
  • Phone: (860) 632-0144

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NPI Details

MONTANO WELLNESS LLC is an internal medicine in Cromwell, CT. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MONTANO WELLNESS LLC NPI is 1740776954. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

160 WEST ST STE 1A
CROMWELL, CT
ZIP 06416-441
Phone: (860) 632-0144
Fax: (860) 632-7882

The provider's authorized official is Charles Brendan Montano .
The authorized official title is Owner, Medical Director and has the following contact phone number (860) 632-0144.

The CLIA number assigned to this NPI record is 07D0097037 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/11/2018 and was last updated on 7/11/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine016871CONNECTICUTYes

What is NPI?

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This page was last updated on: 3/30/2025

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