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Anthony Michael Montefusco IV
Emergency Medicine Physician in San Leandro, California
NPI 1104817972

Anthony Michael Montefusco IV is a Emergency Medicine Physician based in Modesto, CA. Anthony Michael Montefusco IV practices in San Leandro, CA. The NPI Number for Anthony Michael Montefusco IV is 1104817972 and holds a License No. A65978 (California).

The current practice location address for Anthony Michael Montefusco IV is 13855 E 14Th St, San Leandro, CA and can be reached out via phone at 209-342-2300 and via fax at 209-524-4240.

Location: 13855 E 14Th St, San Leandro, CA, 95356-9262
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104817972
Provider Name
Anthony Michael Montefusco IV
Credential
Provider Entity Type
Individual
Gender
Male
Address
13855 E 14Th St, San Leandro, CA, 95356-9262
Phone Number
209-342-2300
Fax Number
209-524-4240
Provider Enumeration Date
11/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A659780 01 CA BLUE SHIELD
00A659780 05 CA
institution
Provider Business Practice Location Address Details
Address
13855 E 14Th St
City
San Leandro
State
California
Zip
94578-2611
Phone Number
209-342-2300
Fax Number
209-524-4240
person
Provider Business Mailing Address Details
Address
13855 E 14Th St
City
San Leandro
State
California
Zip
94578-2611
Phone Number
209-342-2300
Fax Number
209-524-4240
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
A65978 (California)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
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