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Organization
AMOD P TENDULKAR MD INC
Active
Organization
AMOD P TENDULKAR MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMOD P TENDULKAR MD (PRESIDENT)
(209) 948-1234
Entity
Organization
Contact information
Practice address
1617 N CALIFORNIA ST, SUITE 1D, STOCKTON, CA 95204-6117
(209) 948-1234
(209) 462-9233
Mailing address
1617 N CALIFORNIA ST, SUITE 1D, STOCKTON, CA 95204-6117
(209) 948-1234
(209) 462-9233
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A81369
CA
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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