Organization
ANATOMAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANGXIN XU (PROGRAM DIRECTOR)
(408) 885-1474
Entity
Organization
Contact information
Practice address
111 N MARKET ST, SUITE 500, SAN JOSE, CA 95113-1112
(408) 885-1474
(408) 295-9786
Mailing address
111 N MARKET ST, SUITE 500, SAN JOSE, CA 95113-1112
(408) 885-1474
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
74073
CA
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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