Gardner/dads

NPI 1063685311 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1063685311
Enumeration Date 04/08/2008
Last Updated 07/21/2015
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name PUJA PUJA
Position QI & TRAINING COORDINATOR
Phone (408) 977-1591
Fax (408) 998-1535
Practice Location
614 TULLY ROAD
SAN JOSE CA, 95111, US
Phone (408) 977-1591
Fax (408) 998-1535
Business Location
614 TULLY ROAD
SAN JOSE CA, 95111, US
Phone (408) 977-1591
Fax (408) 998-1535
Toxanomy
Taxonomy Code 251S00000X
License State
License Number
Remove 1063685311 NPI Number
 

According to our database, Gardner/dads NPI is 1063685311, taxonomy code is 251S00000X Gardner/dads physically located at 614 Tully Road, San Jose CA, 95111. NPI Number 1033115704 has the healthcare provider type.

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1063685311 NPI number is provided on an as is basis without warranty of any kind. 1063685311 is maintained by the National Plan & Provider Enumeration System. The contents of Gardner/dads are for informational purposes only.