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Organization
ALPHA TELEMEDICINE, PC
Active
Organization
ALPHA TELEMEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY THERESE JACOBSON MD (CHIEF MEDICAL OFFICER)
(415) 663-5584
Entity
Organization
Contact information
Practice address
555 BRYANT ST STE 814, PALO ALTO, CA 94301-1704
(415) 663-5584
(844) 640-3975
Mailing address
555 BRYANT ST STE 814, PALO ALTO, CA 94301-1704
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
363A00000X
Physician Assistant
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
04/01/2022
Last updated
01/17/2023
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