Spectrum Dermatology Medical Assocs Corp.

NPI 1194750661 - Dermatology - 207ND0101X

NPI Details
NPI 1194750661
Enumeration Date 07/12/2006
Last Updated 05/22/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JACOB S. JACOB
Position PRESIDENT
Phone (831) 372-6900
Fax (831) 372-0266
Practice Location
665 MUNRAS AVE
SUITE 200
MONTEREY CA, 93940-3134, US
Phone (831) 372-6900
Fax (831) 372-0266
Business Location
665 MUNRAS AVE
SUITE 200
MONTEREY CA, 93940-3134, US
Phone (831) 372-6900
Fax (831) 372-0266
Toxanomy
Taxonomy Code 207ND0101X
License State California
License Number A46142
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According to our database, Spectrum Dermatology Medical Assocs Corp. NPI is 1194750661, taxonomy code is 207ND0101X and license number is A46142, license state is located at California. Spectrum Dermatology Medical Assocs Corp. physically located at 665 Munras Ave, Monterey CA, 93940-3134. NPI Number 1033115704 has the healthcare provider type.

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1194750661 NPI number is provided on an as is basis without warranty of any kind. 1194750661 is maintained by the National Plan & Provider Enumeration System. The contents of Spectrum Dermatology Medical Assocs Corp. are for informational purposes only.