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Organization
TASSAJARA VALLEY MEDICAL GROUP PC
Active
Organization
TASSAJARA VALLEY MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAAFAT K ZAMARY MD (PRESIDENT)
(925) 443-8040
Entity
Organization
Contact information
Practice address
1258 CONCANNON BLVD, LIVERMORE, CA 94550-6002
(925) 443-8040
(925) 443-1065
Mailing address
1258 CONCANNON BLVD, LIVERMORE, CA 94550-6002
(925) 443-8040
(925) 443-1065
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0091680
—
CA
Enumeration date
05/11/2006
Last updated
08/22/2020
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