Antonia Maitland Charles MD

NPI 1063481695 - Pediatrics - 208000000X

NPI Details
NPI 1063481695
Gender Female
Enumeration Date 03/16/2006
Last Updated 09/11/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1993 MCKEE RD
EVC PEDIATRICS CLINIC
SAN JOSE CA, 95116-1406, US
Phone (408) 885-5000
Fax
Business Location
751 S BASCOM AVE
SAN JOSE CA, 95128-2604, US
Phone (408) 885-5000
Fax
Toxanomy
Taxonomy Code 208000000X
License State California
License Number A66380
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According to our database, Antonia Maitland Charles MD NPI is 1063481695, taxonomy code is 208000000X and license number is A66380, license state is located at California. Antonia Maitland Charles MD physically located at 1993 Mckee Rd, San Jose CA, 95116-1406. NPI Number Antonia Maitland Charles MD has the Individual type.

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1063481695 NPI number is provided on an as is basis without warranty of any kind. 1063481695 is maintained by the National Plan & Provider Enumeration System. The contents of Antonia Maitland Charles MD are for informational purposes only.