Individual
DR. JOSE MARIA VILLACORTA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8401 MARKET ST, BOARDMAN, OH 44512-6725
(330) 729-7960
Mailing address
790 BRIDGEPORT AVE APT 303, STREETSBORO, OH 44241-4065
(310) 806-3064
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A182696
CA
Other
Enumeration date
03/29/2019
Last updated
06/12/2023
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