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Organization
BAY AREA CARDIOVASCULAR MEDICAL GROUP
Active
Organization
BAY AREA CARDIOVASCULAR MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN THOMAS MEHIGAN M.D. (PRESIDENT)
(510) 791-1005
Entity
Organization
Contact information
Practice address
39300 CIVIC CENTER DR, #140, FREMONT, CA 94538-2338
(510) 791-1005
(510) 791-2874
Mailing address
39300 CIVIC CENTER DR, #140, FREMONT, CA 94538-2338
(510) 791-1005
(510) 791-2874
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
G16196
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ80072Z
—
CA
Enumeration date
01/02/2007
Last updated
08/22/2020
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