Eugene Dicero Md Inc

NPI 1063545945 - Family Medicine - 207Q00000X

NPI Details
NPI 1063545945
Enumeration Date 03/13/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name EUGENE EUGENE
Position PRESIDENT
Phone (510) 792-9345
Fax (510) 792-8621
Practice Location
38069 MARTHA AVE
300
FREMONT CA, 94536-3811, US
Phone (510) 792-9345
Fax (510) 792-8621
Business Location
PO BOX 5027
FREMONT CA, 94537-5027, US
Phone (510) 792-9345
Fax (510) 792-8621
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Eugene Dicero Md Inc NPI is 1063545945, taxonomy code is 207Q00000X Eugene Dicero Md Inc physically located at 38069 Martha Ave, Fremont CA, 94536-3811. NPI Number 1033115704 has the healthcare provider type.

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1063545945 NPI number is provided on an as is basis without warranty of any kind. 1063545945 is maintained by the National Plan & Provider Enumeration System. The contents of Eugene Dicero Md Inc are for informational purposes only.