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Organization
WASHINGTON TOWNSHIP MEDICAL FOUNDATION
Active
Organization
WASHINGTON TOWNSHIP MEDICAL FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY GOULART (CREDENTIALING)
(510) 248-1018
Entity
Organization
Contact information
Practice address
39300 CIVIC CENTER DR STE 370, FREMONT, CA 94538-2397
(510) 248-1000
(510) 608-6055
Mailing address
39300 CIVIC CENTER DR STE 370, FREMONT, CA 94538-2397
(510) 248-1000
(510) 608-6055
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208800000X
Urology Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Enumeration date
09/01/2010
Last updated
07/14/2025
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