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Organization
WESTGATE FAMILY PHYSICIANS
Active
Organization
WESTGATE FAMILY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY SLATER M.D. (MANAGEING PARTNER)
(408) 342-1040
Entity
Organization
Contact information
Practice address
5150 GRAVES AVE, BLDG 2, SAN JOSE, CA 95129-5013
(408) 342-1040
(408) 342-1045
Mailing address
5150 GRAVES AVE, BLDG 2, SAN JOSE, CA 95129-5013
(408) 342-1040
(408) 342-1045
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CJ5248
MEDICARE RAIL ROAD
CA
01
—
ZZZ54850Z
BLUESHIELD
CA
Enumeration date
03/30/2006
Last updated
01/18/2008
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