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Organization
FREMONT PRIMARY CARE INC
Active
Organization
FREMONT PRIMARY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENU KHETRAPAL (CFO)
(925) 984-1618
Entity
Organization
Contact information
Practice address
734 MOWRY AVE, FREMONT, CA 94536-4115
(510) 742-6274
(510) 742-6473
Mailing address
734 MOWRY AVE, FREMONT, CA 94536-4115
(510) 742-6274
(510) 742-6473
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/12/2010
Last updated
02/11/2011
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