Individual
ERNESTO CANTU JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3 CREST RD, SAINT ALBANS, VT 05478-9753
(802) 524-4554
Mailing address
14 WILDWOOD DR, ESSEX JUNCTION, VT 05452-3816
(859) 420-1849
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ED0456A
WV
207U00000X
Nuclear Medicine Physician
125.066294
IL
208D00000X
General Practice Physician
Primary
032.0133827
VT
Other
Enumeration date
06/24/2014
Last updated
06/30/2020
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