Individual
MR. MELENCIO CHAN VENTURA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2860 CAROL RD, YORK, PA 17402-3857
(717) 757-3400
(717) 757-3702
Mailing address
2860 CAROL RD, YORK, PA 17402-3857
(717) 757-3400
(717) 757-3702
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD052617L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014825400002
—
PA
Enumeration date
10/05/2006
Last updated
02/29/2016
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