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Organization
MIDPENINSULA OPHTHALMOLOGY MEDICAL GROUP INC
Active
Organization
MIDPENINSULA OPHTHALMOLOGY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH NEVITT MD (PRESIDENT)
(650) 324-0056
Entity
Organization
Contact information
Practice address
1225 CRANE ST, SUITE 200, MENLO PARK, CA 94025-4257
(650) 324-0056
(650) 324-1156
Mailing address
1225 CRANE ST, SUITE 200, MENLO PARK, CA 94025-4257
(650) 324-0056
(650) 324-1156
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
12/29/2006
Last updated
06/08/2023
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