Provider Demographics
NPI:1366806424
Name:MONTE, NICOLAS MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:NICOLAS
Middle Name:MICHAEL
Last Name:MONTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:115 WEST SILVER ST
Mailing Address - Street 2:BAYSTATE NOBLE HOSPITAL - EMERGENCY DEPARTMENT
Mailing Address - City:WEST SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01085
Mailing Address - Country:US
Mailing Address - Phone:413-794-0000
Mailing Address - Fax:
Practice Address - Street 1:115 WEST SILVER ST
Practice Address - Street 2:BAYSTATE NOBLE HOSPITAL - EMERGENCY DEPARTMENT
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01085-0108
Practice Address - Country:US
Practice Address - Phone:413-571-0991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-05
Last Update Date:2020-05-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA281424207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty