Individual
ALFREDO I URDANETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 COLLEGE ST, RONC: RADIATION ONCOLOGY, RICHMOND, VA 23298-5017
(804) 828-7238
Mailing address
PO BOX 980058, RONC: RADIATION ONCOLOGY, RICHMOND, VA 23298-0058
(804) 828-7238
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
0101256304
VA
390200000X
Student in an Organized Health Care Education/Training Program
0116022444
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/10/2008
Last updated
12/01/2014
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