Individual
ALFRED MAXWELL VENTURINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1510 FLORIDA AVE, MODESTO, CA 95350-4437
(209) 549-7090
(209) 549-7099
Mailing address
737 W CHILDS AVE, MERCED, CA 95341-6805
(209) 383-1848
(209) 383-1296
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A022460
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A22460
—
CA
Enumeration date
08/30/2006
Last updated
01/25/2012
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