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Organization
CANCER AND BLOOD CARE OF SAN JOSE INC
Active
Organization
CANCER AND BLOOD CARE OF SAN JOSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRIYA GOMATHI KUMARAVELU MD (PRESIDENT)
(408) 520-7919
Entity
Organization
Contact information
Practice address
175 N JACKSON AVE, SUITE 209, SAN JOSE, CA 95116-1909
(408) 520-7919
(408) 516-9985
Mailing address
175 N JACKSON AVE, SUITE 209, SAN JOSE, CA 95116-1909
(408) 520-7919
(408) 516-9985
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A100993
CA
Other
Enumeration date
03/04/2016
Last updated
04/27/2017
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