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Organization
GENEROSO S NERY M D INC
Active
Organization
GENEROSO S NERY M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENEROSO SANTOS NERY MD (PRESIDENT)
(909) 931-1368
Entity
Organization
Contact information
Practice address
1183 E FOOTHILL BLVD, SUITE 135, UPLAND, CA 91786-4079
(909) 931-1368
(909) 931-1372
Mailing address
1183 E FOOTHILL BLVD, SUITE 135, UPLAND, CA 91786-4079
(909) 931-1368
(909) 931-1372
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A31007
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A310070
—
CA
Enumeration date
11/01/2006
Last updated
08/30/2016
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