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Organization
SUDIN VITTAL MD ENDOSCOPY CENTER INC
Active
Organization
SUDIN VITTAL MD ENDOSCOPY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUDIN VITTAL M.D. (OWNER)
(408) 926-2182
Entity
Organization
Contact information
Practice address
150 N JACKSON AVENUE, SUITE 107, SAN JOSE, CA 95116-1908
(408) 926-2182
(408) 926-8370
Mailing address
150 N JACKSON AVENUE, SUITE 107, SAN JOSE, CA 95116-1908
(408) 926-2182
(408) 926-8370
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
A252860
CA
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/02/2006
Last updated
05/10/2017
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