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Organization
JANUARY CLINIC, P.A.
Active
Organization
JANUARY CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HALEH AGDASSI MD (PRESIDENT)
(561) 901-1741
Entity
Organization
Contact information
Practice address
1259 EL CAMINO REAL # 231, MENLO PARK, CA 94025-4208
(561) 901-1741
Mailing address
1259 EL CAMINO REAL # 231, MENLO PARK, CA 94025-4208
(561) 901-1741
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/23/2020
Last updated
12/29/2020
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