Provider Demographics
NPI:1689634545
Name:MONTO, RAYMOND ROCCO (MD)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:ROCCO
Last Name:MONTO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:99 GOLDFINCH DR
Mailing Address - Street 2:
Mailing Address - City:NANTUCKET
Mailing Address - State:MA
Mailing Address - Zip Code:02554-6008
Mailing Address - Country:US
Mailing Address - Phone:508-776-7671
Mailing Address - Fax:617-399-0119
Practice Address - Street 1:99 GOLDFINCH DR
Practice Address - Street 2:
Practice Address - City:NANTUCKET
Practice Address - State:MA
Practice Address - Zip Code:02554-6008
Practice Address - Country:US
Practice Address - Phone:508-776-7671
Practice Address - Fax:617-399-0119
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA150697207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ31924OtherBLUE CROSS BLUE SHIELD
172446OtherHARVARD PILGRIM
MA3150704Medicaid
MAF39589Medicare UPIN
MADX9384Medicare PIN