Individual
DR. MARLON GETULIO RAMILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1540 FLORIDA AVE STE 100, MODESTO, CA 95350-4430
(209) 577-5557
(209) 579-7246
Mailing address
1540 FLORIDA AVE STE 100, MODESTO, CA 95350-4430
(209) 577-5557
(207) 579-7246
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A78835
CA
207UN0901X
Nuclear Cardiology Physician
A78835
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A788350
—
CA
Enumeration date
06/17/2006
Last updated
01/18/2021
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