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Organization

PURI PEDIATRIC MEDICAL GROUP, INC.

Active
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Organization

PURI PEDIATRIC MEDICAL GROUP, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VEENA PURI M.D. (PRESIDENT)
(510) 797-7766
Entity
Organization

Contact information

Practice address
2243 MOWRY AVE, FREMONT, CA 94538-1630
(510) 797-7766
(510) 797-0595
Mailing address
2243 MOWRY AVE, STE F, FREMONT, CA 94538
(510) 797-7766
(510) 797-0595

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
04/06/2006
Last updated
08/22/2020
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