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Organization

METAMORPH, INC.

Active
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Organization

METAMORPH, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PHYLLIS N BORNER (PRESIDENT)
(408) 852-0703
Entity
Organization

Contact information

Practice address
7725 KILMARNOK DR, SAN JOSE, CA 95135-2140
(408) 852-0703
Mailing address
7725 KILMARNOK DR, SAN JOSE, CA 95135-2140
(408) 852-0703

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
17859
CA
363AM0700X
Medical Physician Assistant
17859
CA
363AS0400X
Surgical Physician Assistant
17859
CA

Other

Enumeration date
10/25/2010
Last updated
10/25/2010
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