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Organization
FOREST AVENUE MEDICAL GROUP
Active
Organization
FOREST AVENUE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS J. MCGUIRE M.D. (PARTNER)
(408) 292-2552
Entity
Organization
Contact information
Practice address
2100 FOREST AVE, SUITE 104, SAN JOSE, CA 95128-1422
(408) 292-2552
(408) 292-1943
Mailing address
2100 FOREST AVE, SUITE 104, SAN JOSE, CA 95128-1422
(408) 292-2552
(408) 292-1943
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
(MULTIPLE PROVIDERS)
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
181-2872-8
CA STATE EMPLOYER NUMBER
CA
Enumeration date
04/25/2007
Last updated
08/22/2020
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