Individual
JOSE A VENTOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1402 BOETTLER RD, SUITE C, UNIONTOWN, OH 44685-9584
(330) 899-0103
(330) 899-0268
Mailing address
1402 BOETTLER RD, SUITE C, UNIONTOWN, OH 44685-9584
(330) 899-0103
(330) 899-0268
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.056929
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0724461
—
OH
Enumeration date
11/13/2006
Last updated
08/15/2011
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