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Organization
SAN JOSE PACIFIC NEUROLOGY CNTR PROF COR
Active
Organization
SAN JOSE PACIFIC NEUROLOGY CNTR PROF COR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJ GUPTA M.D (M.D)
(408) 347-1600
Entity
Organization
Contact information
Practice address
200 JOSE FIGUERES AVE STE 200, SAN JOSE, CA 95116-1586
(408) 347-1600
(408) 347-0600
Mailing address
200 JOSE FIGUERES AVE STE 200, SAN JOSE, CA 95116-1586
(408) 347-1600
(408) 347-0600
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A93854
CA
Other
Enumeration date
01/25/2007
Last updated
03/10/2020
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