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Organization
FREDERICK W. SCHWERTLEY - MEDICAL CORP.
Active
Organization
FREDERICK W. SCHWERTLEY - MEDICAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED W SCHWERTLEY M.D. (PRESIDENT)
(408) 996-1511
Entity
Organization
Contact information
Practice address
10373 TORRE AVE, SUITE G, CUPERTINO, CA 95014-3260
(408) 996-1511
(408) 996-7349
Mailing address
10373 TORRE AVE, SUITE G, CUPERTINO, CA 95014-3260
(408) 996-1511
(408) 996-7349
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
C24063
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C24063
MEDICAL LICENSE
CA
Enumeration date
04/15/2010
Last updated
04/30/2015
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