| Doctor Name: | CONNIE MARIE CHEN MONTGOMERY |
| NPI Number: | 1114161114 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | A113699 |
| Business Practice Address: | 812 Rigel Ln Foster City, CA - 944042767 |
| Business Phone Number: | 9092246336 |
| Business Fax Number: | |
| Mailing Address: | 812 Rigel Ln, FOSTER CITY |
| State: | CA |
| Postal Code: | 944042767 |
| Phone Number: | 9092246336 |
| Fax Number: | |
| NPI Enumeration Date: | 04/22/2009 |
| NPI Last Update Date: | 05/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | A113699 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |