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Organization
SOUTH BASCOM PEDIATRICS INC
Active
Organization
SOUTH BASCOM PEDIATRICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY BETH HUGHES MD (CFO)
(408) 356-7770
Entity
Organization
Contact information
Practice address
15899 LOS GATOS ALMADEN RD, SUITE 4, LOS GATOS, CA 95032-3739
(408) 356-7770
(408) 356-7774
Mailing address
15899 LOS GATOS ALMADEN RD, SUITE 4, LOS GATOS, CA 95032-3739
(408) 356-7770
(408) 356-7774
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
G56745
CA
208000000X
Pediatrics Physician
Primary
G69138
CA
Other
Enumeration date
08/05/2006
Last updated
10/17/2014
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