Individual
JEFFRY HOWARD YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
751 S BASCOM AVE, NEPHROLOGY DEPT, SAN JOSE, CA 95128-2604
(408) 885-5725
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G46932
CA
207RN0300X
Nephrology Physician
Primary
G46932
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G469320
—
CA
Enumeration date
10/04/2006
Last updated
09/12/2007
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