ANTHONY MICHAEL MONTEFUSCO

SAN LEANDRO, CA
NPI1104817972
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: CA  A65978)
Enumeration Date2005-11-02
Last Update Date2008-05-28
Business Address
-- ANTHONY MICHAEL MONTEFUSCO
13855 E 14TH ST
SAN LEANDRO, CA 94578-2611
Phone number: 209-342-2300
Mailing Address
-- ANTHONY MICHAEL MONTEFUSCO
4301 NORTHSTAR WAY
MODESTO, CA 95356-9262
Phone number: 209-342-2300
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