Individual
MR. ALBERT JAMES CREVELLO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
243 GREEN VALLEY RD STE E, FREEDOM, CA 95019-3133
(831) 722-8807
(831) 722-8809
Mailing address
243 GREEN VALLEY RD STE E, FREEDOM, CA 95019-3133
(831) 722-8807
(831) 722-8809
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A23870
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A238700
—
CA
Enumeration date
08/12/2006
Last updated
01/29/2018
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